Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desirae Serene Ellison

Individual provider Massage Therapist · NPI 1093420028

Desirae Serene Ellison is a Massage Therapist in Beckley, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

21 Mallard Ct
Beckley, WV 25801-3615
Phone: (304) 890-8020
Fax: (681) 207-7029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2018-3632 (WV)

Record details

NPI number1093420028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

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