MRS. TIFFANY DAWN CLARK (NPI# 1558655498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558655498 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY DAWN CLARK |
| Credential | LMT |
| Practice Address |
3951 Arrowhead Dr Unit C Medford OR 97504-7257 |
| Practice Telephone | 5416212786 |
| Mailing Telephone | 5416212786 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16488 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
| 1033621214 | Tiffany Clark | Occupational Therapy Assistant | 64 Bradford Cir, Sugar Land, TX 77479-2976 | 2017-10-28 |
| 1760831838 | Tiffany Lynea Clark | Occupational Therapist | 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 | 2016-06-08 |
| 1134590953 | Tiffany Clark | Case Manager/Care Coordinator | 4253 Crossover Rd., Fayetteville, AR 72703 | 2015-10-20 |
| 1639596398 | Tiffany Clark | Home Health Aide | 11830 Jenner Ln, Saint Louis, MO 63138-1212 | 2014-03-19 |
| 1689831539 | Tiffany Clark | Licensed Practical Nurse | 20331 Tracy Ave, Euclid, OH 44123-3040 | 2008-05-19 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1194334011 | Tiffany Renee' Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-07-27 |
| 1467934240 | Tiffany Clark | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-29 |
| Street Address |
3951 ARROWHEAD DR UNIT C |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1922613744 | Danielle Roche | Massage Therapist | 8 Big Cone Ln, Medford, NY 11763-4229 | 2020-09-09 |
| 1437768603 | Corinna Horst | Massage Therapist | 1104 E Jackson St, Medford, OR 97504-7029 | 2020-07-23 |
| 1366064685 | Moira Jean Volz I | Massage Therapist | 718 Cardley Ave, Medford, OR 97504-6124 | 2020-05-08 |
| 1194346619 | Pricilla Madera | Massage Therapist | 1345 Center Dr Unit A, Medford, OR 97501-7945 | 2020-05-06 |
| 1497390322 | Tracy Lynn Deal | Massage Therapist | 1550 Biddle Rd Ste C, Medford, OR 97504-4691 | 2019-11-14 |
| 1265075196 | Stephanie Renee Myers | Massage Therapist | 3190 State St Ste 101, Medford, OR 97504-8498 | 2019-10-23 |
| 1720546658 | Anatrypsis Massage and Wellness | Massage Therapist | 711 E Main St Ste 16, Medford, OR 97504-7139 | 2019-03-11 |
| 1457819609 | Gordon Pilotte | Massage Therapist | 5 Boston Ave Ste B, Medford, MA 02155-6721 | 2019-03-06 |
| 1174087092 | Andrey Pravda | Massage Therapist | 2924 Seckel St, Medford, OR 97504-8150 | 2019-01-24 |
| Find all providers in MEDFORD | ||||
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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.