LEAH CLARK (NPI# 1780930081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780930081 |
| Entity Type | Individual |
| Full Name | LEAH CLARK |
| Credential | LMP |
| Practice Address |
1100 Roosevelt Ave Ste D Mount Vernon WA 98273-2427 |
| Mailing Address |
1100 Ross Rd Bellingham WA 98226-7720 |
| Practice Telephone | 3605100335 |
| Mailing Telephone | 3605100335 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00013516 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972158137 | Leah Jean Clark | Social Worker | 910 Ne 5th St, Ankeny, IA 50021-4721 | 2019-08-05 |
| 1841707585 | Leah Nicole Clark | Case Manager/Care Coordinator | 9624 Se 4th St, Midwest City, OK 73130-4402 | 2018-01-03 |
| 1053711218 | Leah Clark | Speech-Language Pathologist | 31 Penfro Dr, Iowa City, IA 52246-4927 | 2014-08-25 |
| 1578981403 | Leah Elizabeth Clark | Psychologist | 3127 Jones St, Sioux City, IA 51104-2753 | 2014-03-28 |
| 1215432489 | Leah Nicole Clark | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-03-28 |
| 1679923379 | Leah Margaret Clark | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-06-14 |
| 1154665438 | Leah Nicole Clark | Counselor | 714 Lyndon Ln, Suite 1, Louisville, KY 40222-4643 | 2012-11-26 |
| 1699072272 | Leah Eve Clark | Massage Therapist | 412 S 12th Ave, Yakima, WA 98902-3115 | 2011-02-17 |
| 1346435971 | Leah Clark | Social Worker | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2007-09-06 |
| 1588616858 | Leah Diane Clark | Nurse Practitioner | 3010 W Azeele St, Tampa, FL 33609-3139 | 2006-05-16 |
| Street Address |
1100 ROOSEVELT AVE STE D |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070704 | Danielle Renee Shafer | Physical Therapist | 1100 Roosevelt Ave, Mount Vernon, WA 98273-2427 | 2017-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| 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 |
|---|---|---|---|---|
| 1770197972 | Shaquanna Luker | Massage Therapist | 334 S 9th Ave, Mount Vernon, NY 10550-4008 | 2020-09-04 |
| 1982218681 | Bogdan Stoia | Massage Therapist | 505 E Lincoln Ave Apt 510, Mount Vernon, NY 10552-3514 | 2020-09-01 |
| 1427558881 | Susan Anne Frericks | Massage Therapist | 2609 N 30th St, Mount Vernon, WA 98273-8635 | 2018-02-12 |
| 1558876722 | Jessica Snelson | Massage Therapist | 1825 Riverside Dr Ste A, Mount Vernon, WA 98273-5466 | 2017-12-08 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1235672882 | Terra Marie Forkner | Massage Therapist | 1202 S. 2nd Street, Suite E, Mount Vernon, WA 98273 | 2016-11-30 |
| 1629438809 | Alaina Crowe | Massage Therapist | 312 Pine St, Mount Vernon, WA 98273-3852 | 2016-03-01 |
| 1669842480 | Kathleen Miletic | Massage Therapist | 203 N Edgewood Rd, Mount Vernon, OH 43050-2824 | 2015-10-06 |
| 1326427600 | Regina Maier | Massage Therapist | 4324 Joyce Ln, Mount Vernon, IN 47620-9624 | 2015-05-20 |
| 1346634722 | Ben Johnston | Massage Therapist | 300 Virgil Ave, Mount Vernon, IA 52314-9569 | 2015-03-24 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on LEAH 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.