Provider Demographics
NPI:1144806191
Name:PARKS, JESSICA (LMT, BA, DCM)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:PARKS
Suffix:
Gender:F
Credentials:LMT, BA, DCM
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:PARKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DCM
Mailing Address - Street 1:33 ORANGE ST # 4
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2328
Mailing Address - Country:US
Mailing Address - Phone:828-778-0444
Mailing Address - Fax:
Practice Address - Street 1:33 ORANGE ST # 4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2328
Practice Address - Country:US
Practice Address - Phone:828-778-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO2929171100000X
NC05658225700000X
MDMO4787225700000X
NC2179171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist