Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ANTHONY CLARK
Active Sole ProprietorKEITH ANTHONY CLARK is a Massage Therapist healthcare provider located in DALLAS, Texas. NPI 1114453933 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DALLAS, TX
Registration Details
- NPI Number
- 1114453933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2987111464781 yrs)
- Last Updated
- May 11, 2017
- License
-
MT111749 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11311 N CENTRAL EXPYSTE 211DALLAS, TX, 752436707Browse TX providers · Browse ZIP 75243
- Phone
- 2143152959
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| DORIS O. WEINER | LMT, CST-D, NCTMB | 1619066743 |
| MS. KATHLEEN ANN BENANTI | L.M.T. | 1588781843 |
| CHERI S SIMON | LMT,MMP | 1891978144 |
| JAEL WAINRIGHT | LMT | 1376716126 |
| MR. DAVID MICHEAL SMITH | LMT | 1376790386 |
| LESLIE HINTON | L.M.T. | 1962651901 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.