JACKLYN M CLARK


Address: 7047 S D St, Tacoma, WA 98408-6131
Phone: 2534718986

JACKLYN M CLARK (NPI# 1316388630) 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) 1316388630
Entity Type Individual
Full Name JACKLYN M CLARK
Credential LMP
Practice Address 7047 S D St
Tacoma
WA 98408-6131
Mailing Address 20110 75th Avenue Ct E
Spanaway
WA 98387-3002
Practice Telephone 2534718986
Mailing Telephone 7192056450
Enumeration Date 2013-07-15
Last Update Date 2013-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA 60364416 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JACKLYN CLARK

NPI Name Taxonomy Address Enumeration
1255831277 Jacklyn Susanne Clark Behavior Technician 3710 S Susan St Ste 150, Santa Ana, CA 92704-6921 2018-02-16

Office Location

Street Address 7047 S D ST
City TACOMA
State WA
Zip Code 98408-6131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689870529 Advanced Health Care Home Health 7047 S D St, Suite A, Tacoma, WA 98408-6112 2007-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839597 Michael David Clifton Chiropractor 1702 South 72nd Street, Tacoma, WA 98408 2017-09-05
1417405630 Ashley Mae Grosso Licensed Practical Nurse 7011 S I St, Tacoma, WA 98408 2016-09-16
1568845188 Carolyn M Jacoby Social Worker 4850 S Thompson Ave, Tacoma, WA 98408 2015-06-30
1265844385 Kaitlyn Leigh Laube Ward Podiatrist 7808 Pacific Ave Ste 1, Tacoma, WA 98408 2014-05-22
1720315872 Holly A Roach Specialist 414 So. 54th St., Tacoma, WA 98408 2009-11-11
1831328731 Frederick Joseph Norrick Jr. Massage Therapist 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 2009-07-13
1528198264 Susan Joline Henricksen Massage Therapist 6618 So L St, Tacoma, WA 98408 2007-03-06
1043364565 Dawn Michelle Catlow Massage Therapist 6201 Pacific Avenue, Tacoma, WA 98408 2007-01-22
1538223227 Joshua Bleustar Counselor 860 South 54th St, Tacoma, WA 98408 2006-12-20
1235291055 Leonardo F Romero Chiropractor 7047 S D St., Ste. B, Tacoma, WA 98408 2006-12-15
Find all providers in zip 98408

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
1417558305 Madelyn Leigh Thomas Massage Therapist 2202 6th Ave, Tacoma, WA 98403-1049 2020-11-05
1629684519 Deon Abdullah Massage Therapist 5820 S Sheridan Ave, Tacoma, WA 98408-2304 2020-09-16
1699389205 Elissa Aspuria Massage Therapist 4008 S Pine St, Tacoma, WA 98409-5612 2020-09-01
1841803772 Cheryl Tjulander Massage Therapist 1102 A St Ste 408, Tacoma, WA 98402-5010 2020-08-29
1336768845 Lee Pham Parkin Massage Therapist 2118 Yakima Ct, Tacoma, WA 98405-3864 2020-04-14
1275168866 Virginia Drohan Massage Therapist 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 2020-03-04
1770117350 Deja Monique Farrant Massage Therapist 10926 113th Ave Sw, Tacoma, WA 98498-1465 2020-02-24
1821635731 Erin Elise Harris Massage Therapist 4916 Center St Ste G, Tacoma, WA 98409-2348 2019-12-10
1366088643 Bryan Dwight Daniels Massage Therapist 2924 N 14th St, Tacoma, WA 98406-6906 2019-11-21
1255977559 Kathleen Deal Massage Therapist 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 2019-11-21
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98408

Improve Information

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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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