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Ms. Shannon L Clark, LMT
Massage Therapist in Rio Rancho, New Mexico
NPI 1316240401

Shannon L Clark is a Massage Therapist based in Rio Rancho, NM. Shannon L Clark practices in Rio Rancho, NM and has the professional credentials of LMT. The NPI Number for Shannon L Clark is 1316240401 and holds a License No. 6379 (New Mexico).

The current practice location address for Shannon L Clark is 1117 Rio Rancho Dr Se Ste 6G, Rio Rancho, NM and can be reached out via phone at 505-891-1414 and via fax at 505-891-1444.

Location: 1117 Rio Rancho Dr Se Ste 6G, Rio Rancho, NM, 87124-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316240401
Provider Name
Shannon L Clark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1117 Rio Rancho Dr Se Ste 6G, Rio Rancho, NM, 87124-1859
Phone Number
505-891-1414
Fax Number
505-891-1444
Provider Enumeration Date
12/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1117 Rio Rancho Dr Se Ste 6G
City
Rio Rancho
State
New Mexico
Zip
87124-1859
Phone Number
505-891-1414
Fax Number
505-891-1444
person
Provider Business Mailing Address Details
Address
1117 Rio Rancho Dr Se Ste 6G
City
Rio Rancho
State
New Mexico
Zip
87124-1859
Phone Number
505-891-1414
Fax Number
505-891-1444
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
6379 (New Mexico)
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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