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

Mr. Clark Albert Heady, LMT

Individual provider Massage Therapist · NPI 1215534821

Mr. Clark Albert Heady, LMT is a Massage Therapist in Watertown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

165 Mechanic St
Watertown, NY 13601-2677
Phone: (315) 778-1317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 029616 (NY)

Record details

NPI number1215534821
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing address615 Holcomb St Apt 13, Watertown, NY 13601-3973

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