Wellformed AI

NPI 1437072246 · live from the CMS NPI Registry

Danielle Parks, LMT

Massage Therapist in Lake, MS. National Provider Identifier 1437072246, active.

NPI record

NPI1437072246 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location127 S Church St, Lake, MS 39092
Practice phone601-559-7444
Mailing address168 Old 80 Rd, Lake, MS 39092
EnumeratedJuly 30, 2026
Last updatedJuly 30, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X3786 (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.