Jill A Clark, MA, LMT, NCTMB is a
Massage Therapist based in Hamilton, New York. Jill A Clark is licensed to practice in New York (license number 022029) and her current practice location is
54 C Utica St., Hamilton, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 244-2790.
NPI number for Jill A Clark is 1174850739 and her current mailing address is 54 C Utica St., Hamilton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174850739.
Healthcare Provider's Profile
| Full Name | Jill A Clark |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 54 C Utica St., Hamilton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174850739
- Provider Enumeration Date: 11/03/2009
- Last Update Date: 11/03/2009
Medical Identifiers
Medical identifiers for Jill A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174850739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 022029 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill A Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jill A Clark, MA, LMT, NCTMB
54 C Utica St.,
Hamilton, NY 13346
Ph: (607) 244-2790 | Jill A Clark, MA, LMT, NCTMB
54 C Utica St.,
Hamilton, NY 13346
Ph: (607) 244-2790 |
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