Provider Demographics
NPI:1508694365
Name:PARSONS, ELKE (DACM)
Entity type:Individual
Prefix:
First Name:ELKE
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:MISS
Other - First Name:ELKE
Other - Middle Name:
Other - Last Name:MENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8728 S 120 E
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-1526
Mailing Address - Country:US
Mailing Address - Phone:801-608-5175
Mailing Address - Fax:
Practice Address - Street 1:8728 S 120 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1526
Practice Address - Country:US
Practice Address - Phone:801-608-5175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6385346-1201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist