Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY CHRISTOPHER CLARK, LMT
Active Sole ProprietorMR. JERRY CHRISTOPHER CLARK, LMT is a Massage Therapist healthcare provider located in ALLIANCE, Ohio. NPI 1639187297 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ALLIANCE, OH
Registration Details
- NPI Number
- 1639187297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.043192516917 yrs)
- Last Updated
- Jul 8, 2007
- License
-
012806 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2360 S UNION AVEALLIANCE, OH, 446015079Browse OH providers · Browse ZIP 44601
- Phone
- 3308299099
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in ALLIANCE, OH
| Name | Credential | NPI |
|---|---|---|
| MR. SHANE R STOETZER | LMT | 1023400017 |
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.