Individual
KATIE CAROLINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
217 S POINDEXTER ST, ELIZABETH CITY, NC 27909-4834
(252) 312-6942
Mailing address
1257 LEIGH FARM RD, ELIZABETH CITY, NC 27909-7195
(252) 312-6942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15199
NC
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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