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

Mr. Charles Warren Clark Jr., LMT

Individual provider Massage Therapist · NPI 1811290935

Mr. Charles Warren Clark Jr., LMT is a Massage Therapist in Montgomery, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

19577 Fm 2854 Rd
Montgomery, TX 77316-3150
Phone: (936) 537-0948
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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 MT038025 (TX)

Record details

NPI number1811290935
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 11, 2010
Last updated in NPPESDecember 11, 2010

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