Suzanne Marie Clark in Ellensburg - Massage Therapist

Suzanne Marie Clark - NPI 1184804262

Suzanne Marie Clark is a Massage Therapist in Ellensburg, Washington. Suzanne Marie Clark practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Suzanne Marie Clark is 1184804262. The last update date is 2007-11-06.

Suzanne Marie Clark's current location address is 141 Fields Rd, Ellensburg, Washington. You can contact this provider via phone number 5098992819. The mailing address for Suzanne Marie Clark is 141 Fields Rd, Ellensburg, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzanne Marie Clark
Address 141 Fields Rd, Ellensburg, Washington
Phone Number 5098992819
Fax Number
Sole Proprietor N
Credentials LMP

NPI Number Detail

NPI Number 1184804262
Provider Enumeration Date 2007-11-06
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 141 Fields Rd
City Ellensburg
State Washington (WA)
Post Code 989268506
Phone Number 5098992819
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00024263
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Suzanne Marie Clark

What is the unique provider identifier assigned to Suzanne Marie Clark?

The Suzanne Marie Clark has been issued the NPI (National Provider Identifier) 1184804262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Suzanne Marie Clark is physically located?

The Suzanne Marie Clark is situated at the following address: 141 Fields Rd, Ellensburg, WA 989268506.

What is the Suzanne Marie Clark's specialty and taxonomy code?

The Suzanne Marie Clark's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184804262 to Suzanne Marie Clark?

The Suzanne Marie Clark received its 1184804262 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.

As of what date were the Suzanne Marie Clark's details last updated?

The information pertaining to the Suzanne Marie Clark, including its address, specialty, and other details, was most recently updated on 2007-11-06.

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