Jill A Clark, MA, LMT, NCTMB

NPI #1174850739 in Hamilton, New York

Provider Information

NPI Number: 1174850739
Entity Type: Individual
Name: Jill A Clark, MA, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MA, LMT, NCTMB
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 54 C UTICA ST.
City: Hamilton
State: New York
ZIP Code: 13346
Phone: (607) 244-2790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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