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Mrs. Lacey Green Clark
Massage Therapist in Flowood, Mississippi
NPI 1477000347

Lacey Green Clark is a Massage Therapist based in Flowood, MS. Lacey Green Clark practices in Flowood, MS. The NPI Number for Lacey Green Clark is 1477000347 and holds a License No. 1384 (Mississippi).

The current practice location address for Lacey Green Clark is 5419 Highway 25 Ste R, Flowood, MS and can be reached out via phone at 601-479-5392. You can also correspond with Lacey Green Clark through the mailing address at 5419 HIGHWAY 25 STE R, FLOWOOD, MS - 39232-6343 (mailing address contact number: 601-479-5392).

Location: 5419 Highway 25 Ste R, Flowood, MS, 39232-6343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477000347
Provider Name
Lacey Green Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
5419 Highway 25 Ste R, Flowood, MS, 39232-6343
Phone Number
601-479-5392
Fax Number
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5419 Highway 25 Ste R
City
Flowood
State
Mississippi
Zip
39232-6343
Phone Number
601-479-5392
Fax Number
person
Provider Business Mailing Address Details
Address
5419 Highway 25 Ste R
City
Flowood
State
Mississippi
Zip
39232-6343
Phone Number
601-479-5392
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
1384 (Mississippi)
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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