DALE CLARK (NPI# 1720400153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720400153 |
| Entity Type | Individual |
| Full Name | DALE CLARK |
| Credential | LMT, NCBTMB |
| Practice Address |
3411 S Camino Seco Unit 231 Tucson AZ 85730-2815 |
| Practice Telephone | 5209074370 |
| Practice Fax Number | 5207219945 |
| Mailing Telephone | 5209074370 |
| Mailing Fax Number | 5207219945 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-03646P | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386787398 | Dale Eugene Clark | Chiropractor | 109 Rainier Ave So Ste C, Eatonville, WA 98328-0546 | 2007-02-15 |
| 1720153026 | Dale Thomas Clark | Chiropractor | 8907 Warner Ave Ste 160, Huntington Beach, CA 92647-5099 | 2006-11-21 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1689824088 | Dale D Clark | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2008-09-23 |
| Street Address |
3411 S CAMINO SECO UNIT 231 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407921224 | Shawn Renee Bates | Contractor | 3411 S Camino Seco Unit 231, Tucson, AZ 85730-2815 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| 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 |
|---|---|---|---|---|
| 1215537832 | Jonathan Taylor | Massage Therapist | 230 N Shannon Rd Apt 6, Tucson, AZ 85745-1768 | 2020-11-01 |
| 1396344099 | William Cook | Massage Therapist | 6750 E Speedway Blvd, Tucson, AZ 85710-1220 | 2020-10-22 |
| 1811506074 | Marcella Arieta | Massage Therapist | 1625 W Ina Rd Ste 103, Tucson, AZ 85704-1975 | 2020-07-23 |
| 1316580079 | Raymond Yurcik | Massage Therapist | 5405 E Pima St, Tucson, AZ 85712-3674 | 2019-10-24 |
| 1992355457 | Daniela Muster | Massage Therapist | 5675 N Oracle Rd Ste 3202, Tucson, AZ 85704-3884 | 2019-09-17 |
| 1306403506 | Stephanie M Dixon | Massage Therapist | 5431 N Oracle Rd Ste 104a, Tucson, AZ 85704-0012 | 2019-05-22 |
| 1700340890 | Michelle Renee Rodriguez-mohr | Massage Therapist | 4626 E Fort Lowell Rd Ste F, Tucson, AZ 85712-1127 | 2019-01-23 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1174008718 | Patricia Racina | Massage Therapist | 6700 N Oracle Rd Ste 236, Tucson, AZ 85704-7737 | 2018-09-29 |
| 1518446251 | Anastasia Padias | Massage Therapist | 4116 N 1st Ave Unit 1a, Tucson, AZ 85719-1098 | 2018-08-13 |
| Find all providers in TUCSON | ||||
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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.