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

Mr. Champ Michael Clark, DPT, PT, CSCS

Individual provider Physical Therapist · NPI 1447531009

Mr. Champ Michael Clark, DPT, PT, CSCS is a Physical Therapist in The Woodlands, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17350 St Lukes Way Ste 100
The Woodlands, TX 77384-4100
Phone: (936) 321-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1208709 (TX)

Record details

NPI number1447531009
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT , CSCS
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 8, 2011

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