Individual
ELYSE PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT, RYT
Contact information
Practice address
143 SKATEWAY DR, FAYETTEVILLE, NC 28304-2640
(910) 864-6257
Mailing address
143 SKATEWAY DR, FAYETTEVILLE, NC 28304-2640
(910) 864-6257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
17583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275172298
—
NC
Enumeration date
04/02/2020
Last updated
04/02/2020
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