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

Mr. Clark Edmon Stull, LMT

Individual provider Massage Therapist · NPI 1558671941

Mr. Clark Edmon Stull, LMT is a Massage Therapist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2605 Brewerton Rd
Syracuse, NY 13211-1147
Phone: (315) 455-9355
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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 024325 (NY)

Record details

NPI number1558671941
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010
Mailing address17 Flower Ln, Marcellus, NY 13108-1346

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