TIMOTHY ALBERT CLARK

LOUISVILLE, KY
NPI1013233477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: KY  KY-2716)
Enumeration Date2010-04-10
Last Update Date2010-04-10
Business Address
Mr. TIMOTHY ALBERT CLARK LMT
2010 BONNYCASTLE AVE APT 1F
LOUISVILLE, KY 40205-1118
Phone number: 502-459-1557
Mailing Address
Mr. TIMOTHY ALBERT CLARK LMT
2010 BONNYCASTLE AVE APT 1F
LOUISVILLE, KY 40205-1118
Phone number: 502-459-1557
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