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Stefanie Clark , LMT

Massage Therapist • Pullman, WA

Active NPI 1588158307 Individual Practitioner Female Practitioner
Practice location in NPPES

1205 Se Bishop Blvd, Suite #109
Pullman, WA 99163

Call 5094263507 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1205 Se Bishop Blvd
Suite #109

Pullman, WA 99163

Telephone 5094263507

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pullman and Washington

33 active clinicians are listed under Massage Therapist with a practice address in Pullman, WA (13,146 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pullman

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES WA MA60852983

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Wa State Department Of Health
MA60852983 (WA)

Career & Practice History

NPI enumerated June 15, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2018 to August 2026.

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NPI Administrative Meta

NPI Number: 1588158307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2018
Last Update: June 15, 2018
Sole Proprietor: Yes

Mailing Address

1205 Se Bishop Blvd, Suite #109

Pullman, WA 99163

Phone: 5094263507

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.