Elaine Frances Clark, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024125 Issued in WA

Practice address

9730 State Route 532 Ste D
Stanwood, WA 98292-8054

Phone

(360) 572-3709

Fax

(360) 572-3709

NPI assigned

Dec 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Elaine Frances Froelich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Whatcom Chiropractic Center PS

  • Chiropractor
  • Bellingham, WA
  • NPI 1669775961
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1750684627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 STATE ROUTE 532 STE D",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928054",
            "telephone_number": "360-572-3709",
            "fax_number": "360-572-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 STATE ROUTE 532 STE D",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928054",
            "telephone_number": "360-572-3709",
            "fax_number": "360-572-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELAINE",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00024125",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "FROELICH",
            "middle_name": "FRANCES",
            "prefix": "MISS",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cedarhome Speech and Language Therapy PLLC
• Leanna Marie Chamberlain, LMP
• Elliot Sebastian Chong
• Matthew Paul Christian, LMT
• Cynthia Marie Christiansen
• Patrick A Clark, MD
• Jeremy Clay, MD, MPH
• Kevin R Clay, MD
• Mark R Colombo, MD
• Barbara Comben

• Massage Therapist in Stanwood, WA
• Providers in Stanwood, 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 20, 2021; 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.