Active NPIIndividual providerSole proprietor

Rashida M Clark, LMT

Massage Therapist in Nutley, New Jersey

NPI Number1164979886
Practice location
363 Centre St, Nutley, NJ 07110-4706
Fax
—
Last updated
September 10, 2016

Rashida Monique Clark is a Massage Therapist based in Nutley, NJ. Rashida Monique Clark practices in Nutley, NJ and has the professional credentials of LMT. The NPI Number for Rashida Monique Clark is 1164979886 and holds a License No. 18KT00984000 (NJ). The current practice location address for Rashida Monique Clark is 363 Centre St, Nutley, NJ 07110-4706 and can be reached out via phone at 551-697-2433.

Provider Profile Details

NPI Number
1164979886
Provider Name
Rashida Monique Clark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
363 Centre St, Nutley, NJ 07110-4706
Phone Number
551-697-2433
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2016
Last Update Date
September 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
363 Centre St
Nutley, NJ 07110-4706
City
Nutley
Zip
07110-4706
Phone Number
551-697-2433
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
363 Centre St
Nutley, NJ 07110-4706
City
Nutley
State
NJ
Zip
07110-4706

License Information

License Number
18KT00984000
License State
NJ
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rashida M Clark, LMT?

The NPI number of Rashida M Clark, LMT is 1164979886. It was assigned on September 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Rashida M Clark, LMT?

Rashida M Clark, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00984000.

Where does Rashida M Clark, LMT practice?

The practice location is 363 Centre St, Nutley, NJ 07110-4706. The office can be reached at 551-697-2433 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164979886 directly on the NPPES registry website.

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