Individual provider · Type 1 NPI

Keith Anthony Clark

Massage Therapist · Dallas, TX

NPI number 1114453933 Active

Practice location

11311 N Central Expy, Ste 211
Dallas, TX 75243-6707

Call (214) 315-2959 Map

Mailing address

PO Box 273326
Fort Collins, CO 80527-3326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT111749 (TX)

Massage Therapist: 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.

Another provider at this address

Other massage therapist providers in Dallas

See all in Dallas →

About NPI 1114453933

Keith Anthony Clark's National Provider Identifier is 1114453933, issued on May 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, TX. The record was last updated on May 11, 2017.