Doctor Name: | BELINDA CLARK |
NPI Number: | 1366677940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, BCTMB |
License Number: | |
Business Practice Address: | 1601 2nd Ave N Suite 516 Great Falls, MT - 594013259 |
Business Phone Number: | 4062177437 |
Business Fax Number: | |
Mailing Address: | 3434 11th Ave S, #4 GREAT FALLS |
State: | MT |
Postal Code: | 594055546 |
Phone Number: | 4062177437 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 05/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |