Individual
LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 333-0140
Mailing address
512 NW NEWTON DR, BURLESON, TX 76028-3726
(817) 986-1095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134371
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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