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

Theron A Clarke

Individual provider Massage Therapist · NPI 1609534718

Theron A Clarke is a Massage Therapist in Laurelton, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

13327 231st St
Laurelton, NY 11413-2121
Phone: (646) 725-9403
Show map & directions

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

Additional practice locations (1)

  • 13327 231st St, Laurelton, NY 11413-2121 — (646) 725-9403

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0274631 (NY)

Record details

NPI number1609534718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address13327 231st St, Laurelton, NY 11413-2121

Other providers in Laurelton