Individual
PARKER LOESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12042 W BROAD ST, RICHMOND, VA 23233-7689
(804) 251-3915
Mailing address
3153 ELLWOOD AVE APT C, RICHMOND, VA 23221-2926
(316) 680-8640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018852
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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