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Mr. Charles Warren Clark JR., LMT
Massage Therapist in Montgomery, Texas
NPI 1811290935

Charles Warren Clark JR. is a Massage Therapist based in Montgomery, TX. Charles Warren Clark JR. practices in Montgomery, TX and has the professional credentials of LMT. The NPI Number for Charles Warren Clark JR. is 1811290935 and holds a License No. MT038025 (Texas).

The current practice location address for Charles Warren Clark JR. is 19577 Fm 2854 Rd, Montgomery, TX and can be reached out via phone at 936-537-0948.

Location: 19577 Fm 2854 Rd, Montgomery, TX, 77316-3150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811290935
Provider Name
Charles Warren Clark JR.
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
19577 Fm 2854 Rd, Montgomery, TX, 77316-3150
Phone Number
936-537-0948
Fax Number
Provider Enumeration Date
12/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19577 Fm 2854 Rd
City
Montgomery
State
Texas
Zip
77316-3150
Phone Number
936-537-0948
Fax Number
person
Provider Business Mailing Address Details
Address
19577 Fm 2854 Rd
City
Montgomery
State
Texas
Zip
77316-3150
Phone Number
936-537-0948
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT038025 (Texas)
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.
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