MR. CLARK ALBERT HEADY LMT NPI 1215534821

NPI Information

NPI: 1215534821
Provider Name: MR. CLARK ALBERT HEADY, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
165 MECHANIC ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 778-1317
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MR. Clark Albert Heady, LMT is a massage therapist in Watertown, NY. The provider is 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. MR. Clark Albert Heady, LMT NPI is 1215534821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 MECHANIC ST
WATERTOWN, NY
ZIP 13601-677
Phone: (315) 778-1317

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		029616	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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