Allison Clark, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021898 Issued in WA

Practice address

1611 Kresky Ave Ste 108
Suite a
Centralia, WA 98531-8982

Phone

(360) 330-1800

Fax

(360) 330-5866

NPI assigned

Feb 25, 2008

Last updated

Mar 2, 2012By 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

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1962671859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DOWNING RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985315605",
            "telephone_number": "360-736-2853",
            "fax_number": "360-736-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 KRESKY AVE STE 108",
            "address_2": "SUITE A",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318982",
            "telephone_number": "360-330-1800",
            "fax_number": "360-330-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLISON",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Nadene Christopher
• Sheila Ann Cichoski, LMP
• Silvia Vianney Cisneros Campos, INTERPRETER
• Kaila R Cisneros Sanchez
• Miguel Cisneros Sanchez
• David Nicholas Clark, PT,DPT
• Jerry Dean Clark, SUDP, CPSS
• Shonna Clark, AAC
• Regine Claude
• Richard Emery Clevenger Jr., BA,AAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.