Individual
KATHY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 HIGH ST STE 204, PORTSMOUTH, VA 23704-3707
(757) 639-5222
(757) 565-6508
Mailing address
596 NEWMAN DR, NEWPORT NEWS, VA 23601-4135
(757) 639-5222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306001176
VA
225700000X
Massage Therapist
Primary
0019015620
VA
Other
Enumeration date
08/16/2010
Last updated
11/05/2024
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