Jesseca Clark, LMT
Massage Therapist in Battlefield, MO. Individual provider (NPI-1).
NPI number1003703752
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1003703752
- Entity type
- Individual (NPI-1)
- Name
- Jesseca Clark
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2025
- Certification date
- Jun 23, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2025013598 | MO | Yes |
Practice location
5476 S Daniel StBattlefield, MO 65619-9758
Phone 417-300-4949
Mailing address
17776 W County Line RdBillings, MO 65610-8259
Phone 417-300-4949
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