LAUREL MEGAN CLARK LMT NPI 1114455979

NPI Information

NPI: 1114455979
Provider Name: LAUREL MEGAN CLARK, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2415 SE 165TH AVE STE 105
VANCOUVER, WA
ZIP 98683
Phone: (360) 823-2225
Get Directions

Laurel Megan Clark, LMT is a massage therapist in Vancouver, WA. The provider is 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. Laurel Megan Clark, LMT NPI is 1114455979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2415 SE 165TH AVE STE 105
VANCOUVER, WA
ZIP 98683-324
Phone: (360) 823-2225
Fax: (360) 823-2227

The enumeration date for this NPI number is 5/24/2017 and was last updated on 5/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60756541	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1409013	OTHER	WASHINGTON	AMTA MEMBERSHIP
2	MA60756541	OTHER	WASHINGTON	MASSAGE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »