CLARK THERAPEUTIC MASSAGE
NPI 1770620064
Massage Therapist in Graham, WA

Active since January 30, 2007
10107 213TH ST E, GRAHAM, WA 98338(253) 847-2687(253) 846-3012 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Clark Therapeutic Massage NPPES

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

CLARK THERAPEUTIC MASSAGE (NPI 1770620064) is a healthcare organization registered as a massage therapist in Graham, Washington and active in the NPI registry since January 2007. The organization lists Linda Patricia Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1770620064
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameCLARK THERAPEUTIC MASSAGE
Location Address10107 213TH ST EGraham, WA 98338-8059
Mailing AddressPo Box 988Graham, WA 98338-0988 · (253) 847-2687 · Fax (253) 846-3012
Fax(253) 846-3012
Organization SubpartNo
Authorized OfficialLinda Patricia ClarkOwner · (253) 847-2687
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1770620064 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 · MA00004428
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.
10107 213TH ST E, Graham, WA 98338

Other Identifiers 2

Other7694CLWA · Regence Provider Number
Other66473WA · L&i Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Chiropractor
10107 213TH ST E
GRAHAM, WA 98338
Chiropractor
10107 213TH ST E
GRAHAM, WA 98338
Massage Therapist
10107 213TH ST E
GRAHAM, WA 98338
Chiropractor
10107 213TH ST E
GRAHAM, WA 98338
Chiropractor
10107 213TH ST E
GRAHAM, WA 98338

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 Clark Therapeutic Massage's NPI number?

The NPI number for Clark Therapeutic Massage is 1770620064. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Clark Therapeutic Massage located?

Clark Therapeutic Massage is located at 10107 213th St E, Graham, WA 98338. The listed phone number is (253) 847-2687.

What is Clark Therapeutic Massage'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 Clark Therapeutic Massage was last updated on August 22, 2020. 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.