Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLARK EDMON STULL, LMT
ActiveMR. CLARK EDMON STULL, LMT is a Massage Therapist healthcare provider located in SYRACUSE, New York. NPI 1558671941 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SYRACUSE, NY
Registration Details
- NPI Number
- 1558671941
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2010 (15.67646760267 yrs)
- Last Updated
- Oct 19, 2010
- License
-
024325 (NY)
Practice Information
- Address
-
2605 BREWERTON RDSYRACUSE, NY, 132111147Browse NY providers · Browse ZIP 13211
- Phone
- 3154559355
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. KARA LYNN MURPHY | OTR/L | 1154417228 |
| MRS. STEPHANIE L DELAHUNT | LMT, PTA | 1841464823 |
| MRS. JOANNE M VERONE | MECHANOTHERAPIST | 1063661825 |
| MS. THERESA A. CONTOS | — | 1578792867 |
| MS. SARAH ELIZABETH REYNOLDS | L.M.T. | 1336477082 |
| DASHA OLEKSANDRIVNA WEEKS | LMT | 1558667857 |
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.