institution
Clark Therapeutic Massage
Massage Therapist in Graham, Washington
NPI 1770620064

Clark Therapeutic Massage is a Massage Therapist based in Graham, WA. Clark Therapeutic Massage practices in Graham, WA. The NPI Number for Clark Therapeutic Massage is 1770620064 and holds a License No. MA00004428 (Washington).

The current practice location address for Clark Therapeutic Massage is 10107 213Th St E, Graham, WA and can be reached out via phone at 253-847-2687 and via fax at 253-846-3012.

Location: 10107 213Th St E, Graham, WA, 98338-0988
institution
Provider Profile Details
NPI Number
1770620064
Provider Name
Clark Therapeutic Massage
Credential
Provider Entity Type
Organization
Address
10107 213Th St E, Graham, WA, 98338-0988
Phone Number
253-847-2687
Fax Number
253-846-3012
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
66473 01 WA L&I NUMBER
7694CL 01 WA REGENCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
10107 213Th St E
City
State
Zip
98338-8059
Phone Number
253-847-2687
Fax Number
253-846-3012
person
Provider Business Mailing Address Details
Address
10107 213Th St E
City
State
Zip
98338-8059
Phone Number
253-847-2687
Fax Number
253-846-3012
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00004428 (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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