JODIE M CLARK LMT
NPI 1083207518
Massage Therapist in Harrison, AR
Active since February 16, 2021
About Jodie M Clark Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIE M CLARK LMT (NPI 1083207518) is an individual massage therapist in Harrison, Arkansas, licensed in Arkansas (8688) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1083207518
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJODIE M CLARKCredential: LMT
Location Address1014 PEARL RDHarrison, AR 72601-1504
Mailing Address1014 Pearl RdHarrison, AR 72601-1504 · (870) 688-0649
Phone(870) 688-0649
Sole ProprietorYes
Enumeration DateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1083207518 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 AR · 8688
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.
1014 PEARL RD, Harrison, AR 72601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083207518, enumerated as an "individual" on February 16, 2021.
The provider is located at 1014 PEARL RD HARRISON, AR 72601 and the phone number is (870) 688-0649.
Massage Therapist with taxonomy code 225700000X.
