NPI 1558134759
Mattie Clark, LIFESTYLECOACH
Practice location
- Address
- 1668 W Peace St, Canton, MS 39046-5332
- Phone
- (601) 859-5213
- Fax
- (601) 859-8771
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1558134759
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Oct 2023
- Record last updated
- 31 Oct 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.