Theresa Clinton

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2024023281 Issued in MO

Practice address

2108 Independence SQ
West Plains, MO 65775-4224

Phone

(417) 293-4875

NPI assigned

Apr 18, 2023

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

State licenses

Practice roles

Locations

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.

• Selah Massage & Bodywork, LLC

  • Massage Therapist
  • West Plains, MO
  • NPI 1457287500
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1821785114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 JON ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754315",
            "telephone_number": "417-293-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 INDEPENDENCE SQ",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754224",
            "telephone_number": "417-293-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2024023281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Gene Clark Sr.
• Kendell C. Clarkston, M.D.
• Baylee Jean Clary, PTA
• Paydan Anne Clayton
• Teresa Clinton
• Stephen H Coats, DO
• Rachel Cobb, LPC
• David Lee Cochran, DDS
• Mason Cochran, PTA
• Melissa Cockrum, LMSW

• Massage Therapist in West Plains, MO
• Providers in West Plains, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.