Healthcare Provider Details

I. General information

NPI: 1306240346
Provider Name (Legal Business Name): CHRISTOPHER KIRK PARSONS L.M.T. M.M.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 INDEPENDENCE ST STE 2
BERKELEY SPRINGS WV
25411-3259
US

IV. Provider business mailing address

50 INDEPENDENCE ST STE 2
BERKELEY SPRINGS WV
25411-3259
US

V. Phone/Fax

Practice location:
  • Phone: 240-738-0032
  • Fax:
Mailing address:
  • Phone: 240-738-0032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2018-3596
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: