WILLIAM O. CLARK LMT NPI 1679355341

NPI Information

NPI: 1679355341
Provider Name: WILLIAM O. CLARK, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1174 E GRAYSTONE WAY STE 20G
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 793-9435
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William O. Clark, LMT is a massage therapist in Salt Lake City, UT. 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. William O. Clark, LMT NPI is 1679355341. 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:

1174 E GRAYSTONE WAY STE 20G
SALT LAKE CITY, UT
ZIP 84106-678
Phone: (801) 793-9435

The enumeration date for this NPI number is 10/18/2023 and was last updated on 10/18/2023.

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		9740409-4701	UTAH	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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