TIMOTHY L PARKS
NPI 1245071224
Massage Therapist in Nuevo, CA
Active since June 04, 2024
About Timothy L Parks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY L PARKS (NPI 1245071224) is an individual massage therapist in Nuevo, California, licensed in California (87395) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1245071224
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTIMOTHY L PARKS
Location Address22806 MIRILESTE DRNuevo, CA 92567-9680
Mailing Address22806 Mirileste DrNuevo, CA 92567-9680 · (951) 807-1143
Phone(951) 807-1143
Sole ProprietorYes
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1245071224 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 CA · 87395
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.
22806 MIRILESTE DR, Nuevo, CA 92567
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245071224, enumerated as an "individual" on June 04, 2024.
The provider is located at 22806 MIRILESTE DR NUEVO, CA 92567 and the phone number is (951) 807-1143.
Massage Therapist with taxonomy code 225700000X.
