| Clark Therapeutic Massage | |
|
10107 213th St E, Graham, WA 98338-8059 | |
| (253) 847-2687 | |
| (253) 846-3012 |
| Full Name | Clark Therapeutic Massage |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 10107 213th St E, Graham, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770620064 | NPI | - | NPPES |
| 66473 | Other | WA | L&I NUMBER |
| 7694CL | Other | WA | REGENCE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00004428 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Therapeutic Massage Po Box 988, Graham, WA 98338-0988 Ph: (253) 847-2687 | Clark Therapeutic Massage 10107 213th St E, Graham, WA 98338-8059 Ph: (253) 847-2687 |
Kayla N Quiles, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8718 280th St E, Graham, WA 98338 Phone: 253-381-4878 | |
Sharon Kay Smith, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 22705 Meridian Ave E, Graham, WA 98338 Phone: 253-875-6400 | |
Tracy Everitt, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21109 127th Ave E, Graham, WA 98338 Phone: 253-226-1624 | |
Kristin Stamper Mausten, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 22705 Meridian Ave E, Unit A, Graham, WA 98338 Phone: 253-875-7270 | |
Mrs. Kara Beth Faubion, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 28104 132nd Ave E, Graham, WA 98338 Phone: 253-223-6137 | |
Kirstie L Tharge, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21806 103rd Avenue Ct E, #202, Graham, WA 98338 Phone: 253-847-3700 Fax: 253-847-9622 | |
Mrs. Colleen Marie Smith, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19213 103rd Avenue Ct E, Graham, WA 98338 Phone: 253-820-7980 |