Individual
LEIGH ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
458 S 10TH ST, OPELIKA, AL 36801-5858
(334) 737-1400
Mailing address
458 S 10TH ST, OPELIKA, AL 36801-5858
(334) 737-1400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2098
AL
Other
Enumeration date
10/24/2014
Last updated
09/19/2015
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