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THERON A CLARKE
NPI 1609534718
Massage Therapist in Laurelton, NY

Active since December 06, 2021
13327 231ST ST, LAURELTON, NY 11413(646) 725-9403 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theron A Clarke NPPES

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

THERON A CLARKE (NPI 1609534718) is an individual massage therapist in Laurelton, New York, licensed in New York (0274631) and active in the NPI registry since December 2021. He maintains a secondary practice location in Laurelton.

NPPES Registry Identity

NPI1609534718
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTHERON A CLARKE
Location Address13327 231ST STLaurelton, NY 11413-2121
Mailing Address13327 231st StLaurelton, NY 11413-2121 · (646) 725-9403
Phone(646) 725-9403
Sole ProprietorYes
Enumeration DateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1609534718 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 NY · 0274631
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.
13327 231ST ST, Laurelton, NY 11413
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Secondary Practice Location 1

Location 113327 231st StLaurelton, NY 11413-2121 · Phone (646) 725-9403

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 Theron Clarke's NPI number?

The NPI number for Theron Clarke is 1609534718. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Theron Clarke located?

Theron Clarke practices at 13327 231st St, Laurelton, NY 11413. The listed phone number is (646) 725-9403.

What is Theron Clarke'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 Theron Clarke was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.