Individual
DARRYL BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1236 W MAIN ST, SALEM, VA 24153-4726
(434) 202-9712
Mailing address
7777 BRADSHAW RD, SALEM, VA 24153-2253
(434) 202-9712
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015786
VA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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