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Keith Clark
NPI 1114453933 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11311 N Central Expy
Ste 211
Dallas, TX 75243 - Phone
- (214) 315-2959
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas