DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN JAMES CLARK, CMT

Active Sole Proprietor

IAN JAMES CLARK, CMT is a Massage Therapist healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1154048825 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SAN JUAN CAPISTRANO, CA

Registration Details

NPI Number
1154048825
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2022 (3.7661539176539 yrs)
Last Updated
Oct 24, 2022
License
59748 (CA)
Sole Proprietor
Yes

Practice Information

Address
26340 CAMINO DE VIS APT M
SAN JUAN CAPISTRANO, CA, 926755123
Browse CA providers · Browse ZIP 92675
Phone
8182248574
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in SAN JUAN CAPISTRANO, CA

Name Credential NPI
KAREN KATZMARK MT 1659730893
ALINA BURKHOLDER 1720679566
MICHELLE RENEE BELCHEFF 1659030682
MICHELLE G BRYANT MASSAGE THERAPIST 1124807524
WILLIAM GLENN ATKINS III 1457163081
OLENA VELYKANOVA 1871484303
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.