NPI 1770971525

Caleb Clark

Practitioner Mechanotherapist Portland, ME

Practice location

Address: 178 Middle Street 504, Portland, ME 04101
Phone: (207) 699-8483
Mailing address: 163 Neal St APT 2l, Portland, ME 04102-3358

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT4787 (ME)

Other Mechanotherapist providers in Maine →

Registry record

NPI: 1770971525
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2015
Record last updated: 2 Jan 2015

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.