STACY L CLARK


Address: 6290 W Sample Rd, Coral Springs, FL 33067-3101
Phone: 9547572939

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA48419 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers STACY CLARK

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

Office Location

Street Address 6290 W SAMPLE RD
City CORAL SPRINGS
State FL
Zip Code 33067-3101

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

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

Competitor

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City CORAL SPRINGS
Zip Code 33067

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Dataset Information

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.

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