Active NPI
Jesseca Clark, LMT
- Massage Therapist
- Battlefield, MO
National Provider Identifier
1003703752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2025013598
- Practice address
- 5476 S Daniel St
Battlefield, MO 65619-9758 - Phone
- (417) 300-4949
- NPI assigned
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2025013598 | MO | Primary |
Addresses
Primary practice location
5476 S Daniel St
Battlefield, MO 65619-9758
Mailing address
17776 W County Line Rd
Billings, MO 65610-8259
Phone (417) 300-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025013598 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1003703752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17776 W COUNTY LINE RD",
"city": "BILLINGS",
"state": "MO",
"postal_code": "656108259",
"telephone_number": "417-300-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5476 S DANIEL ST",
"city": "BATTLEFIELD",
"state": "MO",
"postal_code": "656199758",
"telephone_number": "417-300-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JESSECA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2025013598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battlefield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.