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

Ian James Clark, CMT

Individual provider Massage Therapist · NPI 1154048825

Ian James Clark, CMT is a Massage Therapist in San Juan Capistrano, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

26340 Camino De Vis Apt M
San Juan Capistrano, CA 92675-5123
Phone: (818) 224-8574
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 59748 (CA)

Record details

NPI number1154048825
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

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