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Ian James Clark, CMT
Massage Therapist in San Juan Capistrano, California
NPI 1154048825

Ian James Clark is a Massage Therapist based in San Juan Capistrano, CA. Ian James Clark practices in San Juan Capistrano, CA and has the professional credentials of CMT. The NPI Number for Ian James Clark is 1154048825 and holds a License No. 59748 (California).

The current practice location address for Ian James Clark is 26340 Camino De Vis Apt M, San Juan Capistrano, CA and can be reached out via phone at 818-224-8574.

Location: 26340 Camino De Vis Apt M, San Juan Capistrano, CA, 92675-5123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154048825
Provider Name
Ian James Clark
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
26340 Camino De Vis Apt M, San Juan Capistrano, CA, 92675-5123
Phone Number
818-224-8574
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26340 Camino De Vis Apt M
City
San Juan Capistrano
State
California
Zip
92675-5123
Phone Number
818-224-8574
Fax Number
person
Provider Business Mailing Address Details
Address
26340 Camino De Vis Apt M
City
San Juan Capistrano
State
California
Zip
92675-5123
Phone Number
818-224-8574
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
59748 (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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