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Ian Clark, CMT
NPI 1154048825 · on the registry since 2022 · sole proprietor
Practice
- Address
- 26340 Camino De Vis Apt M
San Juan Capistrano, CA 92675 - Phone
- (818) 224-8574
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California