KIM M. CLARK (NPI# 1700934072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700934072 |
| Entity Type | Individual |
| Full Name | KIM M. CLARK |
| Practice Address |
9508 Canyon Rd E Puyallup WA 98371-6302 |
| Practice Telephone | 2532213511 |
| Mailing Telephone | 2532213511 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00020639 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760638290 | Kim Michele Clark | Registered Nurse | 6820 Nw Grandview Dr, Corvallis, OR 97330-2706 | 2008-08-15 |
| 1215091095 | Kim M Clark | Optometrist | 12000 Se 82nd Avenue, #2012, Portland, OR 97266-7721 | 2006-12-19 |
| 1497236301 | Kim Clark | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-08-28 |
| 1225428402 | Kim Clark | Behavioral Analyst | 510 W. 11th Street, Family Solutions, Medford, OR 97501 | 2015-01-27 |
| 1023255940 | Kim Evans Clark | Nurse Anesthetist, Certified Registered | 701 Grove Rd, 2nd Floor Anesthesia, Greenville, SC 29605-5611 | 2009-01-14 |
| 1316135312 | Kim Ann Clark | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2007-10-04 |
| 1609069087 | Kim J. Clark | Massage Therapist | 1424 16th Ave, Longview, WA 98632-2901 | 2007-08-20 |
| 1508074311 | Kim Clark | Social Worker | 226 Leonard Rd, South Royalton, VT 05068-9565 | 2007-05-18 |
| Street Address |
9508 CANYON RD E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881862860 | Karla Bullen | Homeopath | 9508 Canyon Rd E, Puyallup, WA 98371-6302 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| 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 |
|---|---|---|---|---|
| 1053941187 | Stephanie Farris | Massage Therapist | 18002 Lipoma Firs E Unit G104, Puyallup, WA 98374-9008 | 2020-01-16 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1265081566 | Karen Kay Briskey | Massage Therapist | 403 43rd Ave Sw Apt 1, Puyallup, WA 98373-5965 | 2019-09-09 |
| 1275181927 | Vicki Jeanette Just-schaefer | Massage Therapist | 1707 3rd St Se Ste A, Puyallup, WA 98372-4506 | 2019-08-27 |
| 1477113587 | Jessica Jaramillo, LLC | Massage Therapist | 16515 Meridian E Ste 103b, Puyallup, WA 98375-6252 | 2019-06-20 |
| 1013574763 | Jovante A Guerra | Massage Therapist | 18710 Meridian E Ste 117, Puyallup, WA 98375-2231 | 2019-05-28 |
| 1386208999 | Jessica Nicole Kongslie | Massage Therapist | 2015 Brookmonte Dr Se, Puyallup, WA 98372-5173 | 2019-04-29 |
| 1184189565 | Mermaid Cove Massage & Wellness, LLC | Massage Therapist | 812 E Main, Puyallup, WA 98372-3364 | 2019-02-10 |
| 1699249847 | Healing Hands With Heart | Massage Therapist | 12515 Meridian E Ste 201, Puyallup, WA 98373-3436 | 2019-01-21 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| Find all providers in PUYALLUP | ||||
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| 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.