Michael Ahart Clark, LMT Valid NPI
Individual provider · Massage Therapist · Morrow, GA
- NPI
- 1457663023
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MT000829 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-07-11
- Last updated
- 2010-07-11
Practice location
2010 Mount Zion Rd, C
Morrow, GA 30260-3314
(678) 610-7581