MS. Cathy A. Clark L.m.p., LIC. MASSAGE PRACTIT
NPI #1497298046 in Forks, Washington
Provider Information
- NPI Number
- 1497298046
- Entity Type
- Individual
- Name
- MS. Cathy A. Clark L.m.p., LIC. MASSAGE PRACTIT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LIC. MASSAGE PRACTIT
- Enumeration Date
- Nov 30, 2016
- Last Updated
- Nov 30, 2016
Practice Location
- Address
- 186-375 HWY. 101
- City
- Forks
- State
- Washington
- ZIP Code
- 98331
- Phone
- (360) 374-5395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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