MEDICARE: DAVID PARKER B.S, L.M.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT34641	TX

General Provider Information

NPI Number	:	1144482332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PARKER B.S, L.M.T

Provider Business Mailing Address
First Line	:	1921 BRADFORD PEAR SQ
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5791
Country	:	US
Telephone Number	:	214-732-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 BRADFORD PEAR SQ
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5791
Country	:	US
Telephone Number	:	214-732-8887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2008
Last Update Date	:	06/28/2008

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