Individual
JOHN ROBERT PARKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
436 PARK RD, SEVIERVILLE, TN 37862-4128
(865) 505-0636
Mailing address
854 S OLD SEVIERVILLE PIKE, SEYMOUR, TN 37865-4146
(702) 834-1335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.4647
NV
Other
Enumeration date
02/07/2013
Last updated
07/26/2024
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