Celina Clark, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

200 1St St S
Montesano, WA 98563-3041

Phone

(360) 310-8028

NPI assigned

Dec 7, 2022

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fitspa, LLC

  dba The Well

  • Massage Therapist
  • Chehalis, WA
  • NPI 1346846839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1295446524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MENZO HAVERLY RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419697",
            "telephone_number": "253-797-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST S",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633041",
            "telephone_number": "360-310-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CELINA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowena Maderazo Caratao, M.D.
• Nancy Carolyn Chambers
• Chaplains on the Harbor
• Roberta Cheville, PTA
• City of Montesano
• Susan Marie Clark, M. ED.
• Brooke Colburn
• Connections, a Center for Healthy Families
• Connections, a Center for Healthy Families
• Core Chiropractic Clinic, P.S.

• Massage Therapist in Montesano, WA
• Providers in Montesano, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.