NPI 1023723889

Samantha Clark, BS

Practitioner Health & Wellness Coach Menasha, WI

Practice location

Address: 1570 Midway Pl, Menasha, WI 54952-1165
Phone: (920) 720-1802

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1023723889
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2023
Record last updated: 17 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.