Clark, Kim M.
Clark, Kim M. is an sole proprietor health care provider with primary practice located at 9508 Canyon Rd E , Puyallup WA 98371-6302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Kim M. can be contacted via phone (253) 221-3511.Contact Information
Primary practice address
9508 Canyon Rd E
Puyallup WA 98371-6302
Phone: (253) 221-3511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00020639 | Washington |
Profile Details
| NPI number | 1700934072 |
|---|---|
| LBN Legal business name | Clark, Kim M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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