Individual
MR. CLARKE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1105 GREENVILLE AVE, STAUNTON, VA 24401-5010
(540) 414-3211
Mailing address
1105 GREENVILLE AVE, STAUNTON, VA 24401-5010
(540) 414-3211
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26-1363486
VA
Other
Enumeration date
01/02/2009
Last updated
09/22/2010
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