Individual
JODIE M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1014 PEARL RD, HARRISON, AR 72601-1504
(870) 688-0649
Mailing address
1014 PEARL RD, HARRISON, AR 72601-1504
(870) 688-0649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8688
AR
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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