MR. CLARK ALBERT HEADY LMT
NPI 1215534821
Massage Therapist in Watertown, NY

Q: What is Clark Heady's NPI number?

The NPI number for Clark Heady is 1215534821. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Clark Heady's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clark Heady was last updated on October 6, 2020. 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.

Active since October 06, 2020

165 MECHANIC ST, WATERTOWN, NY 13601(315) 778-1317 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Clark Albert Heady Lmt NPPES

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

MR. CLARK ALBERT HEADY LMT (NPI 1215534821) is an individual massage therapist in Watertown, New York, licensed in New York (029616) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1215534821

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. CLARK ALBERT HEADYCredential: LMT

Location Address165 MECHANIC STWatertown, NY 13601-2677

Mailing Address615 Holcomb St Apt 13Watertown, NY 13601-3973 · (315) 778-1317

Phone(315) 778-1317

Sole ProprietorYes

Enumeration DateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1215534821 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 · 029616

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.

165 MECHANIC ST, Watertown, NY 13601

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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 Clark Heady's NPI number?

The NPI number for Clark Heady is 1215534821. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Clark Heady located?

Clark Heady practices at 165 Mechanic St, Watertown, NY 13601. The listed phone number is (315) 778-1317.

What is Clark Heady'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 Clark Heady was last updated on October 6, 2020. 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.