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

Kevin Clark

Individual provider Massage Therapist · NPI 1831997741

Kevin Clark is a Massage Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1315 Walnut St
Philadelphia, PA 19107-4719
Phone: (609) 707-6771
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1831997741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address1929 Spruce St Apt 3r, Philadelphia, PA 19103-5719

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