KEITH ANTHONY CLARK
NPI 1114453933
Massage Therapist in Dallas, TX

Q: What is Keith Clark's NPI number?

The NPI number for Keith Clark is 1114453933. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Keith Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Clark was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2017

11311 N CENTRAL EXPY, STE 211, DALLAS, TX 75243(214) 315-2959 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keith Anthony Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH ANTHONY CLARK (NPI 1114453933) is an individual massage therapist in Dallas, Texas, licensed in Texas (MT111749) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1114453933

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameKEITH ANTHONY CLARK

Location Address11311 N CENTRAL EXPY, STE 211Dallas, TX 75243-6707

Mailing AddressPo Box 273326Fort Collins, CO 80527-3326 · (866) 996-2772

Phone(214) 315-2959

Sole ProprietorYes

Enumeration DateMay 11, 2017

✔ NPI 1114453933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in TX · MT111749

Definition

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.

11311 N CENTRAL EXPY, Dallas, TX 75243

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MURRAY J BERGER LPC LMFT

Counselor (Professional)

11311 N CENTRAL EXPY, #208
DALLAS, TX 75243

Dallas County (214) 692-5793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Clark's NPI number?

The NPI number for Keith Clark is 1114453933. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Keith Clark located?

Keith Clark practices at 11311 N Central Expy Ste 211, Dallas, TX 75243. The listed phone number is (214) 315-2959.

What is Keith Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keith Clark was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.