Individual
DAVID PARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4744 BLUE MOUNDS TRL, BLACK EARTH, WI 53515-9742
(608) 767-3413
Mailing address
4744 BLUE MOUNDS TRL, BLACK EARTH, WI 53515-9742
(608) 767-3413
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12254-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000113436
MASSAGE THERAPIST
WI
Enumeration date
03/08/2013
Last updated
03/08/2013
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