Most Relevant Information
Provider Data
| NPI Number: | 1003362625 |
| Provider Name: | TAMI L. CLARK DACM, DNM |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | ACU.0002195 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 05/11/2022 |
Provider Practice Location
101 N MAIN ST
UNIT 12
BRECKENRIDGE
CO
80424
Practice Location Phone/Fax
| Phone: | 9704859811 |
| Fax: |
Provider Mailing Location
PO BOX 4185
FRISCO
CO
804434185
Provider Mailing Phone/Fax
| Phone: | 9704859811 |
| Fax: |