NPI 1477000347

Lacey Green Clark

Practitioner Massage Therapist Flowood, MS

Practice location

Address: 5419 Highway 25 STE R, Flowood, MS 39232-6343
Phone: (601) 479-5392

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1384 (MS)

Other Massage Therapist providers in Mississippi →

Registry record

NPI: 1477000347
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

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.