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CLYDE O MCDADE LMT
NPI 1982680815
Massage Therapist in Lakewood, WA

Active since December 22, 2005
11008 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(360) 763-9439(360) 767-3087 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Oct 22, 2019, Apr 12, 2019 (3 updates tracked since 2019).

About Clyde O Mcdade Lmt NPPES

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

CLYDE O MCDADE LMT (NPI 1982680815) is an individual massage therapist in Lakewood, Washington, licensed in Washington (MA00010222) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1982680815
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCLYDE O MCDADECredential: LMT
Location Address11008 GRAVELLY LAKE DR SWLakewood, WA 98499-1332
Mailing Address11008 Gravelly Lake Dr SwLakewood, WA 98499-1332 · (360) 763-9439 · Fax (360) 767-3087
Phone(360) 763-9439
Fax(360) 767-3087
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1982680815 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 · MA00010222
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.
11008 GRAVELLY LAKE DR SW, Lakewood, WA 98499
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Other Providers at the Same Location NPPES

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

PHOENIX RISING WELLNESS CENTER
Chiropractor
11008 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 220-0711

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 Clyde Mcdade's NPI number?

The NPI number for Clyde Mcdade is 1982680815. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Clyde Mcdade located?

Clyde Mcdade practices at 11008 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (360) 763-9439.

What is Clyde Mcdade'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 Clyde Mcdade was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.