Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atesha Clark, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1083283824

Atesha Clark, MASSAGETHERAPIST is a Massage Therapist in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

119 S Clyde Ave
Kissimmee, FL 34741-5613
Phone: (407) 952-6367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA-60592 (FL)

Record details

NPI number1083283824
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address119 S Clyde Ave, Kissimmee, FL 34741-5613

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