ALLISON CLARK (NPI# 1962671859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962671859 |
| Entity Type | Individual |
| Full Name | ALLISON CLARK |
| Credential | LMP |
| Practice Address |
1611 Kresky Ave Ste 108 Suite A Centralia WA 98531-8982 |
| Mailing Address |
219 Downing Rd Centralia WA 98531-5605 |
| Practice Telephone | 3603301800 |
| Practice Fax Number | 3603305866 |
| Mailing Telephone | 3607362853 |
| Mailing Fax Number | 3607364159 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00021898 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912405291 | Allison Kaye Clark | Nurse Practitioner | 1270 Avenue of The Americas Ste 757, New York, NY 10020-1700 | 2018-02-01 |
| 1306087119 | Allison Maria Clark | Physical Therapist | 305 Sharon Rose Ln., Delhi, NY 13753 | 2009-03-09 |
| 1144467259 | Allison Kutner Clark | Behavioral Analyst | 3705 Bevan Dr, Fairfax, VA 22030-4812 | 2009-01-12 |
| 1750533329 | Allison Grace Clark | Physical Therapist | 350 S Main St Ste 216, Doylestown, PA 18901-4873 | 2008-10-15 |
| 1295336972 | Allison Mary Clark | Speech-Language Pathologist | 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 | 2020-11-08 |
| 1063040947 | Allison Clark | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-03-27 |
| 1225670086 | Allison Honeycutt Clark | Specialist/Technologist | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-10-14 |
| 1750945366 | Allison Leigh Clark | Nurse Practitioner | 501 Howard Ave Ste F2, Altoona, PA 16601-4882 | 2019-04-29 |
| 1972099133 | Allison Simone Clark | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2018-07-10 |
| 1174019277 | Allison Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-02 |
| Street Address |
1611 KRESKY AVE STE 108 SUITE A |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720330418 | Jennifer Louise Brinson | Massage Therapist | 1611 Kresky Ave Ste 108, Centralia, WA 98531-8982 | 2012-10-05 |
| 1760767073 | Lydia Ayers | Specialist | 1611 Kresky Ave Ste 108, Centralia, WA 98531-8982 | 2011-10-18 |
| 1982876330 | Blume Family Chiropractic & Massage, Inc | Naturopath | 1611 Kresky Ave Ste 108, Centralia, WA 98531-8982 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1003475484 | Rachel E Gothard-gollob | Massage Therapist | 500 W Main St Ste D, Centralia, WA 98531-4252 | 2019-06-10 |
| 1326575762 | Tristyn Jay | Massage Therapist | 628 W Main St, Centralia, WA 98531-2845 | 2017-05-16 |
| 1770021214 | Robert Yardley | Massage Therapist | 1325 E Mccord St, Centralia, IL 62801-3610 | 2017-02-04 |
| 1891232062 | Andrea Huhta | Massage Therapist | 1014 N Scheuber Rd Apt 21, Centralia, WA 98531-1568 | 2017-01-26 |
| 1033565742 | Rachael Nicole Smith | Massage Therapist | 1202 S Gold St, Centralia, WA 98531-3716 | 2016-05-11 |
| 1275995417 | Elijah Maxwell | Massage Therapist | 1639 Kresky Ave, Centralia, WA 98531-8912 | 2016-03-27 |
| 1457758104 | Karissa Ashley Steele | Massage Therapist | 1813 Harrison Ave, Centralia, WA 98531-1908 | 2014-11-24 |
| 1912205717 | Danielle Lynn Caywood | Massage Therapist | 1405 Lewis St Apt 23, Centralia, WA 98531-1255 | 2011-03-03 |
| 1396973400 | Kimberly Lynn Prine | Massage Therapist | 103 Jalyn St, Centralia, WA 98531-1730 | 2009-06-26 |
| 1265686968 | Patricia Ann Donoho | Massage Therapist | 109 N Park St, Centralia, IL 62801-2062 | 2008-11-07 |
| Find all providers in CENTRALIA | ||||
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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.