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Desirae Serene Ellison
Massage Therapist in Beckley, West Virginia
NPI 1093420028

Desirae Serene Ellison is a Massage Therapist based in Scarbro, WV. Desirae Serene Ellison practices in Beckley, WV. The NPI Number for Desirae Serene Ellison is 1093420028 and holds a License No. 2018-3632 (West Virginia).

The current practice location address for Desirae Serene Ellison is 21 Mallard Ct, Beckley, WV and can be reached out via phone at 304-890-8020 and via fax at 681-207-7029.

Location: 21 Mallard Ct, Beckley, WV, 25917-8022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093420028
Provider Name
Desirae Serene Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Mallard Ct, Beckley, WV, 25917-8022
Phone Number
304-890-8020
Fax Number
681-207-7029
Provider Enumeration Date
01/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Mallard Ct
City
Beckley
State
West Virginia
Zip
25801-3615
Phone Number
304-890-8020
Fax Number
681-207-7029
person
Provider Business Mailing Address Details
Address
21 Mallard Ct
City
Beckley
State
West Virginia
Zip
25801-3615
Phone Number
304-890-8020
Fax Number
681-207-7029
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2018-3632 (West Virginia)
Definition
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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