National Provider Identifier Database

PARIS D CLARK, DACM, CMT – NPI #1821837139
Massage Therapist

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.


Contact Information

PARIS D CLARK, DACM, CMT
2525 CAMINO DEL RIO S STE 245
SAN DIEGO, CA92108-3775
Phone: 858-337-6182
Fax:
Website:
Specialty Taxonomy Code
* Massage Therapist 225700000X
Acupuncturist 171100000X
Health & Wellness Coach 171400000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for PARIS D CLARK

NPI Number 1821837139
Credentials DACM, CMT
Entity Individual
Enumeration date 05/24/2024
Last updated 05/24/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 59395
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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