| Keith Anthony Clark, | |
|
11311 N Central Expy, Ste 211, Dallas, TX 75243-6707 | |
| (214) 315-2959 | |
| Not Available |
| Full Name | Keith Anthony Clark |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 11311 N Central Expy, Dallas, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114453933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT111749 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Anthony Clark, Po Box 273326, Fort Collins, CO 80527-3326 Ph: (866) 996-2772 | Keith Anthony Clark, 11311 N Central Expy, Ste 211, Dallas, TX 75243-6707 Ph: (214) 315-2959 |
Sus-spencer Enterprises Llc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9319 Lbj Fwy Ste 208c, Dallas, TX 75243 Phone: 469-476-2423 | |
Amelie Rhoshunda Pruitt, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 E Mockingbird Ln Ste 344, Dallas, TX 75214 Phone: 469-577-5491 | |
Alexa Harvey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7557 Rambler Rd Ste 720, Dallas, TX 75231 Phone: 214-361-9355 Fax: 214-361-5214 | |
Brittni J Bowen, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 Centre St, Dallas, TX 75208 Phone: 214-455-9865 | |
Chelsea M Savory, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9600 Golf Lakes Trl Apt 3016, Dallas, TX 75231 Phone: 682-552-5787 | |
Antonia April Lakhani, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12850 Spurling Street Ste 135, Dallas, TX 75230 Phone: 972-207-0179 | |
Alex Eduardo Castillo, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8109 Skillman St Apt 3007, Dallas, TX 75231 Phone: 214-533-6468 |