Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356986103 Individual Practitioner Female Practitioner

Stephanie S Carl , LMP

Massage Therapist • Othello, WA

Professional Overview & Biography Verified Profile Summary

Stephanie Carl, LMP is a registered healthcare professional specializing in Massage Therapist in Othello, WA. Practice services are available at 1366 E LARCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1366 E Larch St

Othello, WA 993441535

Telephone 5099890122

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Othello, WA

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

Practicing in Othello, 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 MA61005491

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License Number
CARL-SS119OL (WA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2019

Registered at 1366 E LARCH ST, OTHELLO, WA 993441535 (Tel: 5099890122)

📍
Updated Business Mailing Address November 14, 2019

Registered at 1366 E LARCH ST, OTHELLO, WA 993441535 (Tel: 5099890122)

👤
Provider Name / Credentials Updated November 14, 2019

Recorded as STEPHANIE CARL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2019

Massage Therapist (License #MA61005491 in WA)

🟢
Initial NPI Registration & Enumeration November 14, 2019

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: 1356986103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2019
Last Update: November 14, 2019
Sole Proprietor: Yes

Mailing Address

1366 E Larch St

Othello, WA 993441535

Phone: 5099890122

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.