Nancy A Clark

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00016620 Issued in WA

Practice address

609 State Ave Ste C
Marysville, WA 98270-4562

Phone

(360) 658-6071

Fax

(360) 658-6271

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952451445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STATE AVE STE C",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704562",
            "telephone_number": "360-658-6071",
            "fax_number": "360-658-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 STATE AVE STE C",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704562",
            "telephone_number": "360-658-6071",
            "fax_number": "360-658-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NANCY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Christman, O.D.
• Kavitha Chunchu, MD
• Aaron Bernard Cilwa, LMHC, SUDP, CCMHC
• Carole A Clark, ARNP
• Harold G Clark, MD
• Nancy Ruth Clark
• Rebecka Marie Clark, RDH, LMT
• Russell Adelbert Clark, DDS
• Shirley Clark, AS, RN
• Robert John Clarke, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.