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MR. CHARLES WARREN CLARK JR. LMT
NPI 1811290935
Massage Therapist in Montgomery, TX

Active since December 11, 2010
19577 FM 2854 RD, MONTGOMERY, TX 77316(936) 537-0948 Get Directions Write a Review

NPPES record last updated: December 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Warren Clark Jr. Lmt NPPES

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

MR. CHARLES WARREN CLARK JR. LMT (NPI 1811290935) is an individual massage therapist in Montgomery, Texas, licensed in Texas (MT038025) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1811290935
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. CHARLES WARREN CLARK JR.Credential: LMT
Location Address19577 FM 2854 RDMontgomery, TX 77316-3150
Mailing Address19577 Fm 2854 RdMontgomery, TX 77316-3150 · (936) 537-0948
Phone(936) 537-0948
Sole ProprietorYes
Enumeration DateDecember 11, 2010
✔ NPI 1811290935 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 · MT038025
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.
19577 FM 2854 RD, Montgomery, TX 77316
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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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1811290935. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Where is Charles Clark located?

Charles Clark practices at 19577 Fm 2854 Rd, Montgomery, TX 77316. The listed phone number is (936) 537-0948.

What is Charles 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 Charles Clark was last updated on December 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.