Clarke, Keith Andrew

Clarke, Keith Andrew is an sole proprietor health care provider with primary practice located at 3975 5Th Ave Suite 213, San Diego CA 92103-3101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Clarke, Keith Andrew can be contacted via phone (619) 906-7055.

Contact Information

Primary practice address
3975 5Th Ave Suite 213 San Diego CA 92103-3101
Phone: (619) 906-7055
Fax: (619) 639-8269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 67117 California

Profile Details

NPI number 1346616208
LBN Legal business name Clarke, Keith Andrew
Credentials CPT, CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2015
Last updated Feb 12th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346616208 NPPES
California Other 67117 CALIFORNIA MASSAGE THERAPY COUNCIL
California Other 1346616208 CALIFORNIA MASSAGE THERAPY COUNCIL

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