- Practice location
- 312 Main St, 2ND Floor, Norwich, VT 05055-4418
- Phone
- 802-649-5252
- Fax
- —
- Last updated
- November 24, 2013
Kevin S Clark is a Massage Therapist based in Norwich, VT. Kevin S Clark practices in Norwich, VT and has the professional credentials of LMT, RAC. The NPI Number for Kevin S Clark is 1972676617 and holds a License No. 1685R (NH). The current practice location address for Kevin S Clark is 312 Main St, 2ND Floor, Norwich, VT 05055-4418 and can be reached out via phone at 802-649-5252.
Provider Profile Details
- NPI Number
- 1972676617
- Provider Name
- Kevin S Clark
- Credential
- LMT, RAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 312 Main St, 2ND Floor, Norwich, VT 05055-4418
- Phone Number
- 802-649-5252
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- November 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 312 Main St
2ND Floor
Norwich, VT 05055-4418 - City
- Norwich
- State
- Vermont
- Zip
- 05055-4418
- Phone Number
- 802-649-5252
Provider Business Mailing Address Details
- Address
- Po Box 215
312 Main Street
Norwich, VT 05055-0215 - City
- Norwich
- State
- VT
- Zip
- 05055-0215
- Phone Number
- 802-649-5252
License Information
- License Number
- 1685R
- License State
- NH
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kevin S Clark, LMT, RAC?
The NPI number of Kevin S Clark, LMT, RAC is 1972676617. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Kevin S Clark, LMT, RAC?
Kevin S Clark, LMT, RAC is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NH under license number 1685R.
Where does Kevin S Clark, LMT, RAC practice?
The practice location is 312 Main St, 2ND Floor, Norwich, VT 05055-4418. The office can be reached at 802-649-5252 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972676617 directly on the NPPES registry website.