NPI 1750595617

Clark Dougherty, LMT

Practitioner Mechanotherapist Ocala, FL

Practice location

Address: 850 NE 36th Ter Suite a, Ocala, FL 34470-2050
Phone: (352) 694-7255

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA 27082 (FL)

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Registry record

NPI: 1750595617
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

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.