Eva Ann Clarke, CMT

Individual provider Active NPI Massage Therapist · Newhall, CA

NPI 1972282192 · NPPES record last updated Jul 14, 2023

Key facts

NPI
1972282192
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
27772 (CA)
Practice address
24509 Walnut St Ste 101
Newhall, CA 91321-2846
Phone
(661) 299-7760
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 27772 CA Yes

Addresses

Primary practice location

24509 Walnut St Ste 101
Newhall, CA 91321-2846

Mailing address

24170 View Pointe LN
Santa Clarita, CA 91355-5111
Phone (805) 573-3586

Other providers in Newhall, CA

All providers in Newhall, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.