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DIANNE CLARK
NPI 1144968785
Massage Therapist in San Jose, CA

Active since May 24, 2022
360 KIELY BLVD, SAN JOSE, CA 95129(408) 693-7256 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dianne Clark NPPES

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

DIANNE CLARK (NPI 1144968785) is an individual massage therapist in San Jose, California, licensed in California (74835) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1144968785
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDIANNE CLARK
Location Address360 KIELY BLVDSan Jose, CA 95129-1347
Mailing AddressPo Box 54375San Jose, CA 95154-0375 · (408) 693-7256
Phone(408) 693-7256
Sole ProprietorYes
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1144968785 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 CA · 74835
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.
360 KIELY BLVD, San Jose, CA 95129
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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 Dianne Clark's NPI number?

The NPI number for Dianne Clark is 1144968785. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Dianne Clark located?

Dianne Clark practices at 360 Kiely Blvd, San Jose, CA 95129. The listed phone number is (408) 693-7256.

What is Dianne 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 Dianne Clark was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.