CAROL CLARK LMT
NPI 1023971769
Massage Therapist in Moravia, NY

Active since December 09, 2025
41 AURORA ST, MORAVIA, NY 13118(315) 730-3530 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Clark Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL CLARK LMT (NPI 1023971769) is an individual massage therapist in Moravia, New York, licensed in New York (030765) and active in the NPI registry since December 2025. She maintains a secondary practice location in Moravia.

NPPES Registry Identity

NPI1023971769
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCAROL CLARKCredential: LMT
Location Address41 AURORA STMoravia, NY 13118-3568
Mailing Address41 Aurora StMoravia, NY 13118-3568 · (315) 730-3530
Sole ProprietorYes
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 2, 2025
NPI 1023971769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 030765
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
41 AURORA ST, Moravia, NY 13118

Secondary Practice Location 1

Location 1148 Main stMoravia, NY 13118 · Phone (315) 730-3530

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Clark's NPI number?

The NPI number for Carol Clark is 1023971769. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Carol Clark located?

Carol Clark practices at 41 Aurora St, Moravia, NY 13118. The listed phone number is (315) 730-3530.

What is Carol Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Carol Clark was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.