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

Matthew Clark, LMT

Individual provider Massage Therapist · NPI 1194594150

Matthew Clark, LMT is a Massage Therapist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1721 SE 17th St Apt 530
Fort Lauderdale, FL 33316-3145
Phone: (770) 280-5971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA104094 (FL)

Record details

NPI number1194594150
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 1, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

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