MR. Clark Edmon Stull LMT

  • NPI 1558671941
According to our database, the NPI number for MR. Clark Edmon Stull LMT is 1558671941 and activated since 13 years ago. MR. Clark Edmon Stull LMT is an individual provider who specializes in Massage Therapist, and the primary practice location is 2605 Brewerton Rd, Syracuse, NY 13211. You can also contact MR. Clark Edmon Stull LMT via telephone number is (315) 455-9355. Provider NPI information was last updated on 10/19/2010.

Recently Active NPIs

Overview of MR. Clark Edmon Stull LMT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/19/2010
  • Last updated: 10/19/2010

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 024325
  • License State: NY

Provider Mailing Address

  • Address: 17 Flower Ln
    Marcellus, NY 13108
  • Phone: 315-380-6719
  • Fax:

Provider Practice Location

  • Address: 2605 Brewerton Rd
    Syracuse, NY 13211
  • Phone: 315-455-9355
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 024325
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 024325
  • Identifier Type: Other
  • Identifier State: NY
  • Issuer: NY STATE EDUCATION DEPARTMENT

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Clark Edmon Stull LMT?
  • A: The npi number for MR. Clark Edmon Stull LMT is 1558671941.
  • Q: What are MR. Clark Edmon Stull LMT's specialties?
  • A: MR. Clark Edmon Stull LMT's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for MR. Clark Edmon Stull LMT?
  • A: The medical license number for MR. Clark Edmon Stull LMT is 024325 and issued in NY in USA.
  • Q: Where is MR. Clark Edmon Stull LMT practice location?
  • A: MR. Clark Edmon Stull LMT is practicing at 2605 Brewerton Rd, Syracuse, NY 13211.
  • Q: How to contact MR. Clark Edmon Stull LMT?
  • A: You can contact MR. Clark Edmon Stull LMT via 315-455-9355.