MR. Timothy Albert Clark, LMT

NPI #1013233477 in Louisville, Kentucky

Provider Information

NPI Number: 1013233477
Entity Type: Individual
Name: MR. Timothy Albert Clark, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 10, 2010
Last Updated: Apr 10, 2010

Practice Location

Address: 2010 BONNYCASTLE AVE APT 1F
City: Louisville
State: Kentucky
ZIP Code: 40205-1118
Phone: (502) 459-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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