Krista Parks, LMT

Individual provider Active NPI Massage Therapist · Pitman, NJ

NPI 1831956259 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1831956259
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18KT00901000 (NJ)
Practice address
140 S Broadway Ste 2
Pitman, NJ 08071-2235
Phone
(609) 413-5696
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18KT00901000NJMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00901000 NJ Yes

Addresses

Primary practice location

140 S Broadway Ste 2
Pitman, NJ 08071-2235

Mailing address

140 S Broadway Ste 2
Pitman, NJ 08071-2235
Phone (609) 413-5696

Other providers in Pitman, NJ

All providers in Pitman, NJ · Massage Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.