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STEFANIE CLARK LMT
NPI 1588158307
Massage Therapist in Pullman, WA

Active since June 15, 2018
1205 SE BISHOP BLVD, SUITE #109, PULLMAN, WA 99163(509) 426-3507 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stefanie Clark Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANIE CLARK LMT (NPI 1588158307) is an individual massage therapist in Pullman, Washington, licensed in Washington (MA60852983) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1588158307
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTEFANIE CLARKCredential: LMT
Location Address1205 SE BISHOP BLVD, SUITE #109Pullman, WA 99163
Mailing Address1205 Se Bishop Blvd, Suite #109Pullman, WA 99163 · (509) 426-3507
Phone(509) 426-3507
Sole ProprietorYes
Enumeration DateJune 15, 2018
✔ NPI 1588158307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60852983
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1205 SE BISHOP BLVD, Pullman, WA 99163
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Other Identifiers 1

OtherMA60852983WA · Wa State Department Of Health

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanie Clark's NPI number?

The NPI number for Stefanie Clark is 1588158307. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Stefanie Clark located?

Stefanie Clark practices at 1205 SE Bishop Blvd Suite #109, Pullman, WA 99163. The listed phone number is (509) 426-3507.

What is Stefanie Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Stefanie Clark was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.