Provider Demographics
NPI:1780856898
Name:PARSONS, GAIL LYNN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:LYNN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3616 W MOUNTAIN DR
Mailing Address - Street 2:318 W BIRCH #3
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1043
Mailing Address - Country:US
Mailing Address - Phone:928-699-1854
Mailing Address - Fax:928-774-7174
Practice Address - Street 1:3616 W MOUNTAIN DR
Practice Address - Street 2:318 W. BIRCH #3
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1063
Practice Address - Country:US
Practice Address - Phone:928-699-1854
Practice Address - Fax:928-774-7174
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT00784P225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist