Kevin S Clark, LMT, R.A.C.

NPI #1972676617 in Norwich, Vermont

Provider Information

NPI Number: 1972676617
Entity Type: Individual
Name: Kevin S Clark, LMT, R.A.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, R.A.C.
Enumeration Date: Nov 17, 2006
Last Updated: Nov 24, 2013

Practice Location

Address: 312 MAIN ST
Address 2: 2ND FLOOR
City: Norwich
State: Vermont
ZIP Code: 05055-4418
Phone: (802) 649-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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