Allyssa-ashley Marie Clark, LMT | |
13620 Metropolis Ave Ste 100, Fort Myers, FL 33912-3406 | |
(239) 220-2128 | |
Not Available |
Full Name | Allyssa-ashley Marie Clark |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 13620 Metropolis Ave Ste 100, Fort Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255086054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA80966 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Allyssa-ashley Marie Clark, LMT 626 Se 13th Ct Apt 1, Cape Coral, FL 33990-2616 Ph: (239) 220-2128 | Allyssa-ashley Marie Clark, LMT 13620 Metropolis Ave Ste 100, Fort Myers, FL 33912-3406 Ph: (239) 220-2128 |
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