Individual provider · Type 1 NPI

Kim M. Clark

Massage Therapist · Puyallup, WA

NPI number 1700934072 Active

Practice location

9508 Canyon Rd E
Puyallup, WA 98371-6302

Call (253) 221-3511 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00020639 (WA)

Massage Therapist: 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.

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About NPI 1700934072

Kim M. Clark's National Provider Identifier is 1700934072, issued on Jan 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.