Individual provider · Type 1 NPI

Desirae Serene Ellison

Massage Therapist · Beckley, WV

NPI number 1093420028 Active

Practice location

21 Mallard Ct
Beckley, WV 25801-3615

Call (304) 890-8020 Map

Fax (681) 207-7029

Mailing address

4714 Okey L Patteson Rd
Scarbro, WV 25917-8022

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2018-3632 (WV)

Massage Therapist: 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.

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About NPI 1093420028

Desirae Serene Ellison's National Provider Identifier is 1093420028, issued on Jan 13, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beckley, WV. The record was last updated on Jan 13, 2023.