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Laurel Megan Clark, LMT
Massage Therapist in Vancouver, Washington
NPI 1114455979

Laurel Megan Clark is a Massage Therapist based in Vancouver, WA. Laurel Megan Clark practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Laurel Megan Clark is 1114455979 and holds a License No. MA60756541 (Washington).

The current practice location address for Laurel Megan Clark is 2415 Se 165Th Ave Ste 105, Vancouver, WA and can be reached out via phone at 360-823-2225 and via fax at 360-823-2227.

Location: 2415 Se 165Th Ave Ste 105, Vancouver, WA, 98683-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114455979
Provider Name
Laurel Megan Clark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2415 Se 165Th Ave Ste 105, Vancouver, WA, 98683-4324
Phone Number
360-823-2225
Fax Number
360-823-2227
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60756541 01 WA MASSAGE LICENSE
1409013 01 WA AMTA MEMBERSHIP
institution
Provider Business Practice Location Address Details
Address
2415 Se 165Th Ave Ste 105
City
Vancouver
State
Washington
Zip
98683-4324
Phone Number
360-823-2225
Fax Number
360-823-2227
person
Provider Business Mailing Address Details
Address
2415 Se 165Th Ave Ste 105
City
Vancouver
State
Washington
Zip
98683-4324
Phone Number
360-823-2225
Fax Number
360-823-2227
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60756541 (Washington)
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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