Individual
CECILIA I CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
25 HIGHLANDS DR, BAILEY, CO 80421-1223
(303) 506-5603
Mailing address
PO BOX 684, BAILEY, CO 80421-0684
(303) 506-5603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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