Molly Clark, is a
Massage Therapist based in Warren, Vermont. Molly Clark is licensed to practice in Vermont (license number 164.0000828) and her current practice location is
200 Woods Rd S, Warren, Vermont. She can be reached at her office (for appointments etc.) via phone at
(720) 810-2901.
NPI number for Molly Clark is 1679261846 and her current mailing address is 200 Woods Rd S, Warren, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679261846.
Healthcare Provider's Profile
| Full Name | Molly Clark |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 200 Woods Rd S, Warren, Vermont |
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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: 1679261846
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 04/26/2023
Medical Identifiers
Medical identifiers for Molly Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679261846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 164.0000828 (Vermont) | 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. Molly 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 |
|---|
Molly Clark,
200 Woods Rd S,
Warren, VT 05674-4503
Ph: (720) 810-2901 | Molly Clark,
200 Woods Rd S,
Warren, VT 05674-4503
Ph: (720) 810-2901 |
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