Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Anthony Clark

Individual provider Massage Therapist · NPI 1114453933

Keith Anthony Clark is a Massage Therapist in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

11311 N Central Expy Ste 211
Dallas, TX 75243-6707
Phone: (214) 315-2959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT111749 (TX)

Record details

NPI number1114453933
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing addressPo Box 273326, Fort Collins, CO 80527-3326

Other providers in Dallas