MRS. Leann R Clark, LMT

NPI #1114245701 in Woodland Park, Colorado

Provider Information

NPI Number: 1114245701
Entity Type: Individual
Name: MRS. Leann R Clark, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 7, 2010
Last Updated: May 7, 2010

Practice Location

Address: 216 W. MIDLAND AVENUE
City: Woodland Park
State: Colorado
ZIP Code: 80863
Phone: (719) 687-2599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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