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Mr. Clifford Warren Fulton I, LMT
Massage Therapist in Clarksburg, West Virginia
NPI 1447408182

Clifford Warren Fulton I is a Massage Therapist based in Salem, WV. Clifford Warren Fulton I practices in Clarksburg, WV and has the professional credentials of LMT. The NPI Number for Clifford Warren Fulton I is 1447408182 and holds a License No. (West Virginia).

The current practice location address for Clifford Warren Fulton I is 1200 West Virginia Ave, Clarksburg, WV and can be reached out via phone at 304-326-3300.

Location: 1200 West Virginia Ave, Clarksburg, WV, 26426-8910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447408182
Provider Name
Clifford Warren Fulton I
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1200 West Virginia Ave, Clarksburg, WV, 26426-8910
Phone Number
304-326-3300
Fax Number
Provider Enumeration Date
09/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 West Virginia Ave
City
Clarksburg
State
West Virginia
Zip
26301-1953
Phone Number
304-326-3300
Fax Number
person
Provider Business Mailing Address Details
Address
1200 West Virginia Ave
City
Clarksburg
State
West Virginia
Zip
26301-1953
Phone Number
304-326-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(West Virginia)
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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