Angella Clark, LMT

NPI #1700278447 in Plainfield, Illinois

Provider Information

NPI Number: 1700278447
Entity Type: Individual
Name: Angella Clark, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 3, 2015
Last Updated: Mar 3, 2015

Practice Location

Address: 23819 W MILL ST
Address 2: SUITE 7
City: Plainfield
State: Illinois
ZIP Code: 60544-3457
Phone: (815) 408-0071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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