Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON T CLARK, LMT
Active Sole ProprietorSHANNON T CLARK, LMT is a Massage Therapist healthcare provider located in MACEDONIA, Ohio. NPI 1912755018 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MACEDONIA, OH
Registration Details
- NPI Number
- 1912755018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2024 (2.2675745054271 yrs)
- Last Updated
- May 13, 2024
- License
-
33.025918 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8500 N BEDFORD RDMACEDONIA, OH, 440561941Browse OH providers · Browse ZIP 44056
- Phone
- 3304681199
- Primary Specialty
-
Massage Therapist
225700000X
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.