NPI 1083207518

Jodie M Clark, LMT

Practitioner Massage Therapist Harrison, AR

Practice location

Address: 1014 Pearl Rd, Harrison, AR 72601-1504
Phone: (870) 688-0649

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8688 (AR)

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Registry record

NPI: 1083207518
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2021
Record last updated: 16 Feb 2021

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.