Individual
MR. TRISTAN THOMAS PARSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
643 LAKEVIEW VLG, PRESTONSBURG, KY 41653-8558
(606) 886-2587
Mailing address
643 LAKEVIEW VLG, PRESTONSBURG, KY 41653-8558
(606) 886-2587
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200221322
KY
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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