Thomas J Clark, LMT

NPI #1861053811 in Bothell, Washington

Provider Information

NPI Number: 1861053811
Entity Type: Individual
Name: Thomas J Clark, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 16615 NORTH RD UNIT B
City: Bothell
State: Washington
ZIP Code: 98012-5983
Phone: (206) 498-4681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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