Mr Clark Edmon Stull, LMT in Syracuse, NY

Mr Clark Edmon Stull, LMT is a Massage Therapist based in Syracuse, New York. Mr Clark Edmon Stull is licensed to practice in New York (license number 024325) and his current practice location is 2605 Brewerton Rd, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 455-9355.

NPI number for Mr Clark Edmon Stull is 1558671941 and his current mailing address is 17 Flower Ln, Marcellus, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558671941.

Contact Information

	Mr Clark Edmon Stull, LMT
	2605 Brewerton Rd, Syracuse, NY 13211-1147
	(315) 455-9355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clark Edmon Stull
Gender	Male
Speciality	Massage Therapist
Location	2605 Brewerton Rd, Syracuse, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1558671941
Provider Enumeration Date: 10/19/2010
Last Update Date: 10/19/2010

Medical Identifiers

Medical identifiers for Mr Clark Edmon Stull such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558671941	NPI	-	NPPES
024325	Other	NY	NY STATE EDUCATION DEPARTMENT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225700000X	Massage Therapist	024325 (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. Mr Clark Edmon Stull 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
Mr Clark Edmon Stull, LMT 17 Flower Ln, Marcellus, NY 13108-1346 Ph: (315) 380-6719	Mr Clark Edmon Stull, LMT 2605 Brewerton Rd, Syracuse, NY 13211-1147 Ph: (315) 455-9355

Reviews and Comments

Massage Therapist in Syracuse, NY

Joseph James Whitmore, LMT, CCT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2605 Brewerton Rd, Syracuse, NY 13211 Phone: 315-778-6060
Olivia Whyte, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2605 Brewerton Rd, Syracuse, NY 13211 Phone: 315-455-9355
Kelly Lambert, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2605 Brewerton Rd, Syracuse, NY 13211 Phone: 315-455-9355
Ms. Birttany D Marsh, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 W Seneca Tpke, Syracuse, NY 13215 Phone: 315-857-5557 Fax: 315-320-9235
Mrs. Joanne M Verone, MECHANOTHERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3522 James St, Suite 104, Syracuse, NY 13206 Phone: 315-463-2600 Fax: 315-463-2672
Catherine Lambie, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3702 James St, Syracuse, NY 13206 Phone: 315-657-2018
Sarah C Johnston, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Onondaga St, Syracuse, NY 13204 Phone: 315-475-9164

Mr Clark Edmon Stull, LMT - Massage Therapist in Syracuse, NY