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Ummi Clark, CMT,CLC,CSC
Massage Therapist in Escondido, California
NPI 1447640289

Ummi Clark is a Massage Therapist based in Escondido, CA. Ummi Clark practices in Escondido, CA and has the professional credentials of CMT,CLC,CSC. The NPI Number for Ummi Clark is 1447640289 and holds a License No. 41928 (California).

The current practice location address for Ummi Clark is 365 W 2Nd Ave Ste 207, Escondido, CA and can be reached out via phone at 760-705-5830.

Location: 365 W 2Nd Ave Ste 207, Escondido, CA, 92025-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447640289
Provider Name
Ummi Clark
Credential
CMT,CLC,CSC
Provider Entity Type
Individual
Gender
Female
Address
365 W 2Nd Ave Ste 207, Escondido, CA, 92025-4136
Phone Number
760-705-5830
Fax Number
Provider Enumeration Date
02/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447640289 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
365 W 2Nd Ave Ste 207
City
Escondido
State
California
Zip
92025-4151
Phone Number
760-705-5830
Fax Number
person
Provider Business Mailing Address Details
Address
365 W 2Nd Ave Ste 207
City
Escondido
State
California
Zip
92025-4151
Phone Number
760-705-5830
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
41928 (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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