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Theron Clarke
NPI 1609534718 · on the registry since 2021 · sole proprietor
Practice
- Address
- 13327 231st St
Laurelton, NY 11413 - Phone
- (646) 725-9403
Additional practice sites
- 13327 231st St, Laurelton, NY
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-06
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 New York