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

Mr. Timothy Albert Clark, LMT

Individual provider Massage Therapist · NPI 1013233477

Mr. Timothy Albert Clark, LMT is a Massage Therapist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
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

2010 Bonnycastle Ave Apt 1F
Louisville, KY 40205-1118 Not confirmed with CMS for 16 years — call before visiting
Phone: (502) 459-1557
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence KY-2716 (KY)

Record details

NPI number1013233477
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 10, 2010
Last updated in NPPESApril 10, 2010

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