Individual
LACI MAIRA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
20 STOCKBRIDGE RD, GREAT BARRINGTON, MA 01230-1773
(413) 717-4078
Mailing address
20 STOCKBRIDGE RD, GREAT BARRINGTON, MA 01230-1773
(413) 717-4078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11223
MA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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