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Stefanie Clark, LMT
Massage Therapist in Pullman, Washington
NPI 1588158307

Stefanie Clark is a Massage Therapist based in Pullman, WA. Stefanie Clark practices in Pullman, WA and has the professional credentials of LMT. The NPI Number for Stefanie Clark is 1588158307 and holds a License No. MA60852983 (Washington).

The current practice location address for Stefanie Clark is 1205 Se Bishop Blvd, Pullman, WA and can be reached out via phone at 509-426-3507.

Location: 1205 Se Bishop Blvd, Pullman, WA, 99163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588158307
Provider Name
Stefanie Clark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1205 Se Bishop Blvd, Pullman, WA, 99163
Phone Number
509-426-3507
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60852983 01 WA WA STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
1205 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163
Phone Number
509-426-3507
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163
Phone Number
509-426-3507
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60852983 (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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