ROBERT COLEMAN CLARK (NPI# 1538358924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538358924 |
| Entity Type | Individual |
| Full Name | ROBERT COLEMAN CLARK |
| Credential | L.M.T., N.C.T.M.B. |
| Practice Address |
1501b Grape St Tallahassee FL 32303-5637 |
| Practice Telephone | 8503221434 |
| Mailing Telephone | 8503221434 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA43282 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| 1275659971 | Robert Clark | Anesthesiology | 7044 Sandy Hill Way, Holland, OH 43528-8088 | 2007-03-22 |
| Street Address |
1501B GRAPE ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929978 | Ora Fabian Enaytzadah | Massage Therapist | 723 Truman Ave, Tallahassee, FL 32314-8602 | 2020-07-07 |
| 1013416783 | Theresa Marie Revell | Massage Therapist | 6539 Man O War Trl, Tallahassee, FL 32309-1615 | 2018-02-07 |
| 1508240094 | Greg B White | Massage Therapist | 3735 Ravine Dr, Tallahassee, FL 32312-1151 | 2015-07-14 |
| 1811378318 | Florence Harmony | Massage Therapist | 726 W 10th Ave, Tallahassee, FL 32303-5305 | 2015-06-11 |
| 1962835843 | Axios Health Spa, LLC | Massage Therapist | 1122 Thomasville Rd Ste 3, Tallahassee, FL 32303-8702 | 2013-08-15 |
| 1063752665 | Regan Jager | Massage Therapist | 1460 Grape St, Tallahassee, FL 32303-5636 | 2013-02-20 |
| 1942540455 | Chantelle Yandow | Massage Therapist | 728 N Gadsden St, Tallahassee, FL 32303-6275 | 2013-02-20 |
| 1952676876 | Lindsay Kraft | Massage Therapist | 1820 Riggins Rd, Suite 1, Tallahassee, FL 32308-7834 | 2012-03-09 |
| 1285908491 | Benjamin Beldock | Massage Therapist | 203 Oakland Ave, Tallahassee, FL 32301-4441 | 2012-03-06 |
| 1801164751 | Ryan W Jones | Massage Therapist | 3808 Stewar Way, Tallahassee, FL 32303 | 2011-12-07 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on ROBERT COLEMAN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.