Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114455979 Individual Practitioner Female Practitioner

Laurel Megan Clark , LMT

Massage Therapist • Vancouver, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Laurel Clark, LMT is a registered healthcare professional specializing in Massage Therapist in Vancouver, WA. Official NPI practice address is registered at 410 E 20TH ST.

Practice Location & Contact Primary Location

Practice Address

410 E 20th St

Vancouver, WA 986633316

Telephone 3609310976
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Vancouver, WA

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

Practicing in Vancouver, 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

CMS Verified: 2025-03-18
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60756541

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 Amta Membership
1409013 (WA)
Commercial Insurance / Payer ID Massage License
MA60756541 (WA)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Gloria Ramberg , LMHC

Counselor - Mental Health

NPI 1013019561

Licensed Mental Health Counselor

NPI 1033471651

Licensed Acupuncturist, EAMP

NPI 1053459479

LMPLMT

Matthew Cronin , MA, LMHC, PCA

Counselor - Mental Health

NPI 1114532983

Master of Arts, Licensed Mental Health Counselor, PCA

Joy Batey , LMP

Massage Therapist

NPI 1164761201

Licensed Massage Practitioner

Mae Onosaki , LMT, LMP

Mechanotherapist

NPI 1275725368

Licensed Massage Therapist, Licensed Massage Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 18, 2025

Registered at 410 E 20TH ST, VANCOUVER, WA 986633316 (Tel: 3609310976)

📍
Updated Business Mailing Address March 18, 2025

Registered at 504 W 30TH ST, VANCOUVER, WA 986602129 (Tel: 3609310976)

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2017

Registered at 2415 SE 165TH AVE STE 105, VANCOUVER, WA 986834324 (Tel: (360) 823-2225)

📍
Updated Business Mailing Address May 24, 2017

Registered at 2415 SE 165TH AVE STE 105, VANCOUVER, WA 986834324 (Tel: 3608232225)

👤
Provider Name / Credentials Updated May 24, 2017

Recorded as LAUREL CLARK, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Massage Therapist (License #MA60756541 in WA)

🟢
Initial NPI Registration & Enumeration May 24, 2017

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: 1114455979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2017
Last Update: March 18, 2025
Sole Proprietor: No

Mailing Address

504 W 30th St

Vancouver, WA 986602129

Phone: 3609310976

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.