Cecilia I Clark, CMT

NPI #1164623724 in Bailey, Colorado

Provider Information

NPI Number: 1164623724
Entity Type: Individual
Name: Cecilia I Clark, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 25 HIGHLANDS DR
City: Bailey
State: Colorado
ZIP Code: 80421-1223
Phone: (303) 506-5603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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