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ELIZABETH MARIE CLARK LMT
NPI 1720670698
Massage Therapist in Wasilla, AK

Active since February 10, 2021
1212 W MYSTERY AVE STE B, WASILLA, AK 99654(907) 521-8002 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Marie Clark Lmt NPPES

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

ELIZABETH MARIE CLARK LMT (NPI 1720670698) is an individual massage therapist in Wasilla, Alaska, licensed in Alaska (166299) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1720670698
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameELIZABETH MARIE CLARKCredential: LMT
Location Address1212 W MYSTERY AVE STE BWasilla, AK 99654-6335
Mailing Address1212 W Mystery Ave Ste BWasilla, AK 99654-6335 · (907) 521-8002
Phone(907) 521-8002
Sole ProprietorNo
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1720670698 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 AK · 166299
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.
1212 W MYSTERY AVE STE B, Wasilla, AK 99654
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Other Names 1

Other Name (5)Charlie Clark

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE GRACE COREY LMT
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002
MARIAH CAMPBELL
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002
ALASKA MASSAGE STUDIO LLC
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 232-4274
CHRISTY CLARK LMT
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002
DESTINEE VONSCHEELE
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002
MS. JENNA REBECCA FRANCESCA LMT
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (831) 334-4161
JESSICA A MCINNIS LMT
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002
AMBER CURRY
Massage Therapist
1212 W MYSTERY AVE STE B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-8002

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 Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1720670698. It was assigned to this individual provider in the NPPES registry on February 10, 2021. The provider is also known as Charlie Clark.

Where is Elizabeth Clark located?

Elizabeth Clark practices at 1212 W Mystery Ave Ste B, Wasilla, AK 99654. The listed phone number is (907) 521-8002.

What is Elizabeth 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 Elizabeth Clark was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.