Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609069087 Individual Practitioner Female Practitioner

Kim J. Clark , LMP

Massage Therapist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Kim Clark, LMP is a registered healthcare professional specializing in Massage Therapist in Longview, WA. Practice services are available at 1424 16TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1424 16th Ave

Longview, WA 986322901

Telephone 3604256620
Fax 3604251277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Longview, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA00018876

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Krista Pohl , LMT

Massage Therapist

NPI 1023581063

Licensed Massage Therapist

NPI 1104084086

Doctor of Chiropractic

NPI 1134311376

Bachelor of Arts, Bachelor of Science, Doctor of Chiropractic

Diane Miollis , LMP

Massage Therapist

NPI 1265625628

Licensed Massage Practitioner

NPI 1326084609

Doctor of Chiropractic

NPI 1396786125

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 20, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2007

Registered at 1424 16TH AVE, LONGVIEW, WA 986322901 (Tel: 3604256620)

📍
Updated Business Mailing Address August 20, 2007

Registered at 1424 16TH AVE, LONGVIEW, WA 986322901 (Tel: 3604256620)

👤
Provider Name / Credentials Updated August 20, 2007

Recorded as KIM CLARK, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2007

Massage Therapist (License #MA00018876 in WA)

🟢
Initial NPI Registration & Enumeration August 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609069087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: August 20, 2007
Sole Proprietor: No

Mailing Address

1424 16th Ave

Longview, WA 986322901

Phone: 3604256620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.