MR. CHARLES WARREN CLARK LMT NPI 1811290935

NPI Information

NPI: 1811290935
Provider Name: MR. CHARLES WARREN CLARK, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
19577 FM 2854 RD
MONTGOMERY, TX
ZIP 77316
Phone: (936) 537-0948
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MR. Charles Warren Clark, LMT is a massage therapist in Montgomery, TX. The provider is 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. MR. Charles Warren Clark, LMT NPI is 1811290935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19577 FM 2854 RD
MONTGOMERY, TX
ZIP 77316-150
Phone: (936) 537-0948

The enumeration date for this NPI number is 12/11/2010 and was last updated on 12/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT038025	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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