Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES WARREN CLARK JR., LMT
Active Sole ProprietorMassage Therapist · MONTGOMERY, TX
Registration Details
- NPI Number
- 1811290935
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2010 (15.392263394054 yrs)
- Last Updated
- Dec 11, 2010
- License
-
MT038025 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19577 FM 2854 RDMONTGOMERY, TX, 773163150Browse TX providers · Browse ZIP 77316
- Phone
- 9365370948
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MONTGOMERY, TX
| Name | Credential | NPI |
|---|---|---|
| MUSATYE MERIRAH GATLING | LMT | 1396901294 |
| KATHY J STRICKER | LMT | 1962655332 |
| MRS. LYDIA KRISTINA SEARS | — | 1487980207 |
| DESARAY LEIGH RICH | LMT | 1023345501 |
| MRS. SHEILA JEAN MISTRIC | — | 1649507179 |
| RENA STRATTON | LMT, MMP | 1275383150 |
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.