Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Shane Clack, MS, RD, LD

Individual provider Registered Dietitian · NPI 1801230685

Jonathan Shane Clack, MS, RD, LD is a Registered Dietitian in Weatherford, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

805 Terry Trl
Weatherford, TX 76086-4601
Phone: (817) 629-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT82634 (TX)

Record details

NPI number1801230685
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , LD
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESJune 19, 2018
Mailing address805 Terry Trl, Weatherford, TX 76086-4601

Other providers in Weatherford