Individual
DERRILLYNN Y PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
(719) 632-4754
Mailing address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019883
CO
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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