Provider Demographics
NPI:1306240346
Name:PARSONS, CHRISTOPHER KIRK (LMT MMP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KIRK
Last Name:PARSONS
Suffix:
Gender:M
Credentials:LMT MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4436B IJAMSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9503
Mailing Address - Country:US
Mailing Address - Phone:240-344-4016
Mailing Address - Fax:
Practice Address - Street 1:4436B IJAMSVILLE RD
Practice Address - Street 2:
Practice Address - City:IJAMSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21754
Practice Address - Country:US
Practice Address - Phone:240-344-4016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM04949225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM04949OtherSTATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE