P Praxis·MD
● Active Type 1 · Individual

MRS. Niko Shondtain Clark, LMT

Massage Therapist·Warner Robins, GA· NPI 1831048495 · Enumerated 2026 · 0 years on NPI
Clark is 1 of 26 massage therapist providers in Warner Robins and 1 of 1375 in Georgia.
NPI age
— years
Enumerated 2026-01-27
Primary specialty
Massage Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1375 active massage therapist providers in Georgia.

NPI age
0 years
↓ 5 yr below median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-01Enumerated in NPPES
2026 2026

Where they practice

Practice location
150 S Houston Lake Rd Ste 700
Warner Robins, GA 310889073
📞 2013360717
Mailing address
150 S Houston Lake Rd Ste 700
Warner Robins, GA 310889073
📞 8605148241

Specialties

  • Massage Therapist Primary
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    GA license #MT014220 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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