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

Michelle Clark, RTTPRACTITIONER

Individual provider Health & Wellness Coach · NPI 1083411151

Michelle Clark, RTTPRACTITIONER is a Health & Wellness Coach in Jerome, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

596 Silver Beach Dr
Jerome, ID 83338-6416
Phone: (385) 279-1039
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1083411151
Entity typeIndividual (Type 1)
GenderFemale
Credentials RTTPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address596 Silver Beach Dr, Jerome, ID 83338-6416

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