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MR. CLARK EDMON STULL LMT
NPI 1558671941
Massage Therapist in Syracuse, NY

Active since October 19, 2010
2605 BREWERTON RD, SYRACUSE, NY 13211(315) 455-9355 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clark Edmon Stull Lmt NPPES

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

MR. CLARK EDMON STULL LMT (NPI 1558671941) is an individual massage therapist in Syracuse, New York, licensed in New York (024325) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1558671941
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. CLARK EDMON STULLCredential: LMT
Location Address2605 BREWERTON RDSyracuse, NY 13211-1147
Mailing Address17 Flower LnMarcellus, NY 13108-1346 · (315) 380-6719
Phone(315) 455-9355
Sole ProprietorNo
Enumeration DateOctober 19, 2010
✔ NPI 1558671941 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 · 024325
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.
2605 BREWERTON RD, Syracuse, NY 13211
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Other Identifiers 1

Other024325NY · Ny State Education Department

Other Providers at the Same Location NPPES 20

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

JOSEPH JAMES WHITMORE LMT, CCT
Massage Therapist
2605 BREWERTON RD
SYRACUSE, NY 13211
Onondaga County (315) 778-6060
OLIVIA WHYTE
Massage Therapist
2605 BREWERTON RD
SYRACUSE, NY 13211
Onondaga County (315) 455-9355
KELLY LAMBERT
Massage Therapist
2605 BREWERTON RD
SYRACUSE, NY 13211
Onondaga County (315) 455-9355
KARA ELISABETH SHOSTACK LMT
Massage Therapist
2605 BREWERTON RD
MATTYDALE, NY 13211
Onondaga County (315) 455-9355
DR. CLINTON CHARLES CONGER D.C.
Chiropractor
2605 BREWERTON RD
MATTYDALE, NY 13211
Onondaga County (315) 415-2028
SAMANTHA MARIE RAWSON LMT
Massage Therapist
2605 BREWERTON RD
MATTYDALE, NY 13211
Onondaga County (315) 455-9355
MRS. CANDICE LEEANN TUCCI LMT
Specialist
2605 BREWERTON RD
MATTYDALE, NY 13211
Onondaga County (315) 455-9355
MRS. HEIDI LYNNE MAYO LMT
Specialist
2605 BREWERTON RD
MATTYDALE, NY 13211
Onondaga County (315) 455-9355

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 Stull's NPI number?

The NPI number for Clark Stull is 1558671941. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Clark Stull located?

Clark Stull practices at 2605 Brewerton Rd, Syracuse, NY 13211. The listed phone number is (315) 455-9355.

What is Clark Stull'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 Stull was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.