person
Mr. Keith Andrew Clarke, CPT,CMT
Massage Therapist in San Diego, California
NPI 1346616208

Keith Andrew Clarke is a Massage Therapist based in San Diego, CA. Keith Andrew Clarke practices in San Diego, CA and has the professional credentials of CPT,CMT. The NPI Number for Keith Andrew Clarke is 1346616208 and holds a License No. 67117 (California).

The current practice location address for Keith Andrew Clarke is 3975 5Th Ave, San Diego, CA and can be reached out via phone at 619-906-7055 and via fax at 619-639-8269.

Location: 3975 5Th Ave, San Diego, CA, 92101-6096
person
Provider Profile Details
NPI Number
1346616208
Provider Name
Keith Andrew Clarke
Credential
CPT,CMT
Provider Entity Type
Individual
Gender
Male
Address
3975 5Th Ave, San Diego, CA, 92101-6096
Phone Number
619-906-7055
Fax Number
619-639-8269
Provider Enumeration Date
08/14/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
67117 01 CA CALIFORNIA MASSAGE THERAPY COUNCIL
1346616208 01 CA NPPES
institution
Provider Business Practice Location Address Details
Address
3975 5Th Ave
City
State
Zip
92103-3101
Phone Number
619-906-7055
Fax Number
619-639-8269
person
Provider Business Mailing Address Details
Address
3975 5Th Ave
City
State
Zip
92103-3101
Phone Number
619-906-7055
Fax Number
619-639-8269
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
67117 (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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