Dianne Clark is a Massage Therapist based in San Jose, CA. Dianne Clark practices in San Jose, CA. The NPI Number for Dianne Clark is 1144968785 and holds a License No. 74835 (California).
The current practice location address for Dianne Clark is 360 Kiely Blvd, San Jose, CA and can be reached out via phone at 408-693-7256.
Location: 360 Kiely Blvd, San Jose, CA, 95154-0375
Provider Profile Details
NPI Number
1144968785
Provider Name
Dianne Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
360 Kiely Blvd, San Jose, CA, 95154-0375
Phone Number
408-693-7256
Fax Number
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
360 Kiely Blvd
City
State
Zip
95129-1347
Phone Number
408-693-7256
Fax Number
Provider Business Mailing Address Details
Address
360 Kiely Blvd
City
State
Zip
95129-1347
Phone Number
408-693-7256
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
74835 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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