Katie Caroline Parker, LMBT
Massage Therapist in Elizabeth City, NC. Individual provider (NPI-1).
NPI number1639836166
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1639836166
- Entity type
- Individual (NPI-1)
- Name
- Katie Caroline Parker
- Credential
- LMBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 15199 | NC | Yes |
Practice location
217 S Poindexter StElizabeth City, NC 27909-4834
Phone 252-312-6942
Mailing address
1257 Leigh Farm RdElizabeth City, NC 27909-7195
Phone 252-312-6942
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