Individual
DANIELLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
127 S CHURCH ST, LAKE, MS 39092-9008
(601) 559-7444
Mailing address
168 OLD 80 RD, LAKE, MS 39092-8008
(601) 559-7444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3786
MS
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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