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CLACK NUTRITION
NPI 1891128666
Dietitian, Registered in Weatherford, TX

Active since August 15, 2013
1011 N MAIN ST, WEATHERFORD, TX 76086(817) 620-0420 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Clack Nutrition NPPES

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

CLACK NUTRITION (NPI 1891128666) is a healthcare organization registered as a dietitian, registered in Weatherford, Texas and active in the NPI registry since August 2013. The organization lists Jonathan Shane Clack, Owner, as its authorized official.

NPPES Registry Identity

NPI1891128666
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameCLACK NUTRITION
Location Address1011 N MAIN STWeatherford, TX 76086-2029
Mailing Address805 Terry TrlWeatherford, TX 76086-4601 · (817) 629-0420
Phone(817) 620-0420
Organization SubpartNo
Authorized OfficialJonathan Shane ClackOwner · (817) 629-0420
Enumeration DateAugust 15, 2013
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1891128666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1011 N MAIN ST, Weatherford, TX 76086
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RESTORATIVE MOTION & HEALTH LLC
Clinic/Center
1011 N MAIN ST
WEATHERFORD, TX 76086
Parker County (817) 594-5590

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 Clack Nutrition's NPI number?

The NPI number for Clack Nutrition is 1891128666. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Clack Nutrition located?

Clack Nutrition is located at 1011 N Main St, Weatherford, TX 76086. The listed phone number is (817) 620-0420.

What is Clack Nutrition's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Clack Nutrition was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.