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DESIRAE SERENE ELLISON
NPI 1093420028
Massage Therapist in Beckley, WV

Active since January 13, 2023
21 MALLARD CT, BECKLEY, WV 25801(304) 890-8020(681) 207-7029 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desirae Serene Ellison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRAE SERENE ELLISON (NPI 1093420028) is an individual massage therapist in Beckley, West Virginia, licensed in West Virginia (2018-3632) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1093420028
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDESIRAE SERENE ELLISON
Location Address21 MALLARD CTBeckley, WV 25801-3615
Mailing Address4714 Okey L Patteson RdScarbro, WV 25917-8022 · (304) 520-1426 · Fax (681) 207-7029
Phone(304) 890-8020
Fax(681) 207-7029
Sole ProprietorNo
Enumeration DateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1093420028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WV · 2018-3632
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

21 MALLARD CT, Beckley, WV 25801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KACY RAE KORCZYK L.AC.
Acupuncturist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
NELLIE SUE ROSE LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
SIERRA B STRATTON LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
KRISTY FULKS LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
NORA NICOLE AKERS
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
TIFFANY MARIE MARCUM LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
MELANIE DAWN ARRIGONI LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020
AMBER DAWN MIKELS LMT
Massage Therapist
21 MALLARD CT
BECKLEY, WV 25801
Raleigh County (304) 890-8020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirae Ellison's NPI number?

The NPI number for Desirae Ellison is 1093420028. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Desirae Ellison located?

Desirae Ellison practices at 21 Mallard Ct, Beckley, WV 25801. The listed phone number is (304) 890-8020.

What is Desirae Ellison's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Desirae Ellison accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Desirae Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desirae Ellison was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.