Gersley, Misty Lynne

Gersley, Misty Lynne is an sole proprietor health care provider with primary practice located at 4542 Wishart Rd , Virginia Beach VA 23455. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Gersley, Misty Lynne can be contacted via phone (951) 795-5498.

Contact Information

Primary practice address
4542 Wishart Rd Virginia Beach VA 23455
Phone: (951) 795-5498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0019015698 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 0019015698 Virginia
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X B201400441 Virginia

Profile Details

NPI number 1417596370
LBN Legal business name Gersley, Misty Lynne
Credentials LMT, HHP, NREMT, ADS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2019
Last updated Apr 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417596370 NPPES
Virginia Other 0019015698 BOARD OF NURSINF

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