Laci Maira Parker, L.M.T

NPI #1013252600 in Great Barrington, Massachusetts

Provider Information

NPI Number: 1013252600
Entity Type: Individual
Name: Laci Maira Parker, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: Dec 7, 2012
Last Updated: Dec 7, 2012

Practice Location

Address: 20 STOCKBRIDGE RD
City: Great Barrington
State: Massachusetts
ZIP Code: 01230-1773
Phone: (413) 717-4078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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