Individual provider · Type 1 NPI

Niko Shondtain Clark, LMT

Massage Therapist · Warner Robins, GA

NPI number 1831048495 Active

Practice location

150 S Houston Lake Rd Ste 700
Warner Robins, GA 31088-9073

Call (201) 336-0717 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT014220 (GA)

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.

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About NPI 1831048495

Niko Shondtain Clark, LMT's National Provider Identifier is 1831048495, issued on Jan 27, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warner Robins, GA. The record was last updated on Jan 27, 2026.