ALYSSA NANETTE CLARK (NPI# 1902233083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902233083 |
| Entity Type | Individual |
| Full Name | ALYSSA NANETTE CLARK |
| Credential | L.M.T. |
| Practice Address |
140 N 4th St East Tower 17th Floor Louisville KY 40202-4227 |
| Mailing Address |
1101 Tallow Ln Louisville KY 40214-5553 |
| Practice Telephone | 5025877644 |
| Mailing Telephone | 8127863169 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | KY-4831 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509569 | Alyssa Ann Clark | Specialist/Technologist | 1150 Edina St, Dubuque, IA 52001-4203 | 2020-02-09 |
| 1750931648 | Alyssa Marie Clark | Occupational Therapist | 4605 W Crystal Lake Rd, Mchenry, IL 60050-5484 | 2019-09-13 |
| 1548785900 | Alyssa Clark | Behavioral Analyst | 456 Russellville Rd, Westfield, MA 01085-1180 | 2017-08-07 |
| 1891731196 | Alyssa Clark | Speech-Language Pathologist | 9 Lakefield Dr, Marlton, NJ 08053-5321 | 2006-06-22 |
| 1467078766 | Alyssa Clark | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-06-23 |
| 1003467473 | Alyssa Compton Clark | Community Health Worker | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-09-26 |
| 1306314521 | Alyssa Clark | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-06 |
| 1962982223 | Alyssa Marie Clark | Speech-Language Pathologist | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-16 |
| 1154813285 | Alyssa Clark | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2018-06-04 |
| 1407376288 | Alyssa Clark | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2017-06-22 |
| Street Address |
140 N 4TH ST EAST TOWER 17TH FLOOR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
| 1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
| 1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
| 1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
| 1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
| 1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
| 1124630363 | Karli Shae Neutz | Massage Therapist | 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | 2020-08-19 |
| 1093332330 | Elizabeth Heustis | Massage Therapist | 1012 Bluegrass Ave, Louisville, KY 40215-2314 | 2020-07-02 |
| 1396371860 | Marcella Alice Thompson | Massage Therapist | 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | 2020-03-17 |
| 1154951432 | Suwannee Norwood | Massage Therapist | 3608 Springhurst Blvd, Louisville, KY 40241-4142 | 2020-01-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on ALYSSA NANETTE 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.