Provider Demographics
NPI:1710591375
Name:DUCKWORTH-THOMAS, PARNISIA L (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:PARNISIA
Middle Name:L
Last Name:DUCKWORTH-THOMAS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:MRS
Other - First Name:PARNISIA
Other - Middle Name:L
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PARNISIA DUCKWORTH
Mailing Address - Street 1:11314 NE 149TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-1006
Mailing Address - Country:US
Mailing Address - Phone:425-877-1346
Mailing Address - Fax:
Practice Address - Street 1:11314 NE 149TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-1006
Practice Address - Country:US
Practice Address - Phone:425-877-1346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00003438225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist