| Desirae Serene Ellison, | |
|
21 Mallard Ct, Beckley, WV 25801-3615 | |
| (304) 890-8020 | |
| (681) 207-7029 |
| Full Name | Desirae Serene Ellison |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 21 Mallard Ct, Beckley, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093420028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2018-3632 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Desirae Serene Ellison, 4714 Okey L Patteson Rd, Scarbro, WV 25917-8022 Ph: (304) 520-1426 | Desirae Serene Ellison, 21 Mallard Ct, Beckley, WV 25801-3615 Ph: (304) 890-8020 |
Mariesa Hatfield, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 Main St, United Bank Complex Suite 203, Beckley, WV 25801 Phone: 304-575-8690 | |
Mary Elizabeth Hulmes, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Mallard Ct, Beckley, WV 25801 Phone: 304-890-8020 Fax: 681-207-7029 | |
Nora Nicole Akers, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Mallard Ct, Beckley, WV 25801 Phone: 304-890-8020 Fax: 681-207-7029 | |
Janette Bryant, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3136 Robert C Byrd Dr, Beckley, WV 25801 Phone: 304-890-1935 | |
Sierra B Stratton, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Mallard Ct, Beckley, WV 25801 Phone: 304-890-8020 Fax: 681-207-7029 | |
Lyndsey Michelle Davis, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Mallard Ct, Beckley, WV 25801 Phone: 304-890-8020 Fax: 681-207-7029 |