Clark Therapeutic Massage in Graham - Massage Therapist
Clark Therapeutic Massage - NPI 1770620064
Clark Therapeutic Massage is a Massage Therapist in Graham, Washington. Clark Therapeutic Massage practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Clark Therapeutic Massage is 1770620064. The last update date is 2020-08-22.
Clark Therapeutic Massage's current location address is Po Box 988, Graham, Washington. You can contact this provider via phone number 2538472687 and fax number 2538463012. The mailing address for Clark Therapeutic Massage is Po Box 988, Graham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Therapeutic Massage |
|---|---|
| Address | Po Box 988, Graham, Washington |
| Phone Number | 2538472687 |
| Fax Number | 2538463012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Patricia Linda |
| Credentials | LMP |
| Telephone Number | 2538472687 |
NPI Number Detail
| NPI Number | 1770620064 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 988 |
|---|---|
| City | Graham |
| State | Washington (WA) |
| Post Code | 983380988 |
| Phone Number | 2538472687 |
| Fax Number | 2538463012 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00004428 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66473 | WA | L&I NUMBER | |
| 7694CL | WA | REGENCE PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clark Therapeutic Massage?
The Clark Therapeutic Massage has been issued the NPI (National Provider Identifier) 1770620064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Clark Therapeutic Massage is physically located?
The Clark Therapeutic Massage is physically situated at the following address: Po Box 988, Graham, WA, 983380988.
What is Clark Therapeutic Massage's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clark Therapeutic Massage is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date was the 1770620064 assigned to Clark Therapeutic Massage?
The Clark Therapeutic Massage was issued its 1770620064 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Clark Therapeutic Massage most recently updated or revised?
The details related to Clark Therapeutic Massage, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.