MS. SHANNON CLARK, LMT

Massage Therapist

Active Individual
NPI: 1316240401

Practice Address

1117 RIO RANCHO DR SE STE 6G
Rio Rancho, NM 87124

Phone: (505) 891-1414

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 6379 (NM)

Frequently Asked Questions

NPI 1316240401 is the National Provider Identifier for MS. SHANNON CLARK, LMT, a Massage Therapist provider located in Rio Rancho, NM. This NPI was enumerated on December 10, 2010.
MS. SHANNON CLARK, LMT practices at 1117 RIO RANCHO DR SE STE 6G, Rio Rancho, NM 87124.

Quick Facts

NPI
1316240401
Type
Individual
Enumerated
Dec 10, 2010
Last Updated
Dec 10, 2010

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