Provider Demographics
NPI:1588921480
Name:PARSLEY, MARTHA ANN (LAC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:ANN
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:JARRETTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21084-1338
Mailing Address - Country:US
Mailing Address - Phone:410-557-4048
Mailing Address - Fax:410-557-4048
Practice Address - Street 1:1117 BALDWIN MILL RD
Practice Address - Street 2:
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1936
Practice Address - Country:US
Practice Address - Phone:410-557-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00975171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist