Individual
JESSECA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5476 S DANIEL ST, BATTLEFIELD, MO 65619-9758
(417) 300-4949
Mailing address
17776 W COUNTY LINE RD, BILLINGS, MO 65610-8259
(417) 300-4949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2025013598
MO
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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