STACY L CLARK (NPI# 1114259637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114259637 |
| Entity Type | Individual |
| Full Name | STACY L CLARK |
| Credential | LMT |
| Practice Address |
6290 W Sample Rd Coral Springs FL 33067-3101 |
| Mailing Address |
6290 W Sample Rd Coral Springs FL 33067 |
| Practice Telephone | 9547572939 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA48419 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861628380 | Stacy Clark | Counselor | 2156 Seastone Trce, Chesapeake, VA 23321-3777 | 2009-06-10 |
| 1912016494 | Stacy Ann Clark | Optometrist | 1601 E Iron Ave, Salina, KS 67401-3237 | 2006-08-29 |
| 1801841606 | Stacy Suzanne Clark | Chiropractor | 6 Ebco Circle, Waynesboro, VA 22980 | 2006-05-23 |
| 1669012647 | Stacy Ann Clark | Counselor | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 | 2020-01-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1295199941 | Stacy Ann Clark | Nurse Practitioner | 3245 Mount Moriah Ave, Suite 10, Owensboro, KY 42303-7834 | 2016-04-08 |
| 1689950479 | Stacy Clark | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-10-25 |
| 1053625764 | Stacy Clark | Psychologist | 25 E Washington St, 1719, Chicago, IL 60602-1708 | 2010-08-05 |
| 1134375314 | Stacy Clark | Physical Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2008-08-07 |
| 1619145497 | Stacy Clark | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2008-02-14 |
| Street Address |
6290 W SAMPLE RD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578894762 | Jose Luis Fuentes | Massage Therapist | 6290 W Sample Rd, #102, Coral Springs, FL 33067-3101 | 2010-01-27 |
| 1396004040 | Fatima Rodriquez | Massage Therapist | 6290 W Sample Rd, #102, Coral Springs, FL 33067-3101 | 2012-05-15 |
| 1255637153 | Raquel N Espinoza | Massage Therapist | 6290 W Sample Rd, #102, Coral Springs, FL 33067-3101 | 2011-02-10 |
| 1912211087 | Raquel Mata | Massage Therapist | 6290 W Sample Rd, 102, Coral Springs, FL 33067-3101 | 2010-08-01 |
| 1184938250 | Debra Joy Wienser | Massage Therapist | 6290 W Sample Rd, Coral Springs, FL 33067-3101 | 2010-08-01 |
| 1437472925 | Backstretch South Florida | Massage Therapist | 6290 W Sample Rd, #102, Coral Springs, FL 33067-3101 | 2010-03-11 |
| 1003147216 | Daniela Sales Long | Massage Therapist | 6290 W Sample Rd, Suite 102, Coral Springs, FL 33067-3101 | 2010-01-28 |
| 1508197658 | Jeneene Rene Rahal | Massage Therapist | 6290 W Sample Rd, Suite 102, Coral Springs, FL 33067-3101 | 2010-01-28 |
| 1073844270 | Melanie Totten | Massage Therapist | 6290 W Sample Rd, Suite 102, Coral Springs, FL 33067-3101 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998751 | Elaine Lenore Johnson | Massage Therapist | 811 Coral Ridge Dr, Coral Springs, FL 33071-4180 | 2020-10-04 |
| 1063027431 | Luz Daneira Chaves | Massage Therapist | 10126 Nw 3rd Pl, Coral Springs, FL 33071-6807 | 2020-09-12 |
| 1912511247 | Marisol Ferrey | Massage Therapist | 1823 N University Dr, Coral Springs, FL 33071-6001 | 2020-09-03 |
| 1144834425 | Sibylle Claude | Massage Therapist | 9825 W Sample Rd Ste 204, Coral Springs, FL 33065-4040 | 2020-09-03 |
| 1992319305 | Narragansett Smith | Massage Therapist | 3611 Turtle Run Blvd Apt 624, Coral Springs, FL 33067-4233 | 2020-09-02 |
| 1972117737 | Damien Orlando Day | Massage Therapist | 12302 W Sample Rd, Coral Springs, FL 33065-8017 | 2020-08-31 |
| 1730791476 | Argentina Portocarrero | Massage Therapist | 4152 Nw 90th Ave Apt 205, Coral Springs, FL 33065-1720 | 2020-08-22 |
| 1982259107 | Estevenz Clinic of Integrative Medicine | Massage Therapist | 3000 N University Dr Ste A, Coral Springs, FL 33065-5048 | 2019-08-05 |
| 1255765699 | Steven Carvajal | Massage Therapist | 2700 Riverside Dr # B301, Coral Springs, FL 33065-1001 | 2013-08-21 |
| 1922445501 | Denise Rodruguez Rivera | Massage Therapist | 4311nw110th Ave, Unit S, Coral Springs, FL 33065-7723 | 2013-05-23 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
Please comment or provide details below to improve the information on STACY L CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.