ATESHA CLARK MASSAGE THERAPIST
NPI 1083283824
Massage Therapist in Kissimmee, FL

Active since June 24, 2021
119 S CLYDE AVE, KISSIMMEE, FL 34741(407) 952-6367 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atesha Clark Massage Therapist NPPES

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

ATESHA CLARK MASSAGE THERAPIST (NPI 1083283824) is an individual massage therapist in Kissimmee, Florida, licensed in Florida (MA-60592) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1083283824
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameATESHA CLARKCredential: MASSAGE THERAPIST
Location Address119 S CLYDE AVEKissimmee, FL 34741-5613
Mailing Address119 S Clyde AveKissimmee, FL 34741-5613 · (407) 952-6367
Sole ProprietorNo
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
NPI 1083283824 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 FL · MA-60592
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.
119 S CLYDE AVE, Kissimmee, FL 34741

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
119 S CLYDE AVE
KISSIMMEE, FL 34741

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 Atesha Clark's NPI number?

The NPI number for Atesha Clark is 1083283824. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Atesha Clark located?

Atesha Clark practices at 119 S Clyde Ave, Kissimmee, FL 34741. The listed phone number is (407) 952-6367.

What is Atesha 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 Atesha Clark was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.