Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN S CLARK, LMT, R.A.C.
Active Sole ProprietorKEVIN S CLARK, LMT, R.A.C. is a Massage Therapist healthcare provider located in NORWICH, Vermont. NPI 1972676617 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · NORWICH, VT
Registration Details
- NPI Number
- 1972676617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.757883234684 yrs)
- Last Updated
- Nov 24, 2013
- License
-
1685R (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
312 MAIN ST2ND FLOORNORWICH, VT, 050554418Browse VT providers · Browse ZIP 05055
- Phone
- 8026495252
- 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.