MR. TIMOTHY CLARK, LMT

Massage Therapist

Active Individual
NPI: 1013233477

Practice Address

2010 BONNYCASTLE AVE APT 1F
Louisville, KY 40205

Phone: (502) 459-1557

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes KY-2716 (KY)

Frequently Asked Questions

NPI 1013233477 is the National Provider Identifier for MR. TIMOTHY CLARK, LMT, a Massage Therapist provider located in Louisville, KY. This NPI was enumerated on April 10, 2010.
MR. TIMOTHY CLARK, LMT practices at 2010 BONNYCASTLE AVE APT 1F, Louisville, KY 40205.

Quick Facts

NPI
1013233477
Type
Individual
Enumerated
Apr 10, 2010
Last Updated
Apr 10, 2010

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