Crystal Waters, LMT

NPI #1114400132 in New York Mills, New York

Provider Information

NPI Number: 1114400132
Entity Type: Individual
Name: Crystal Waters, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 14, 2018
Last Updated: Sep 14, 2018

Practice Location

Address: 587 MAIN ST STE 126
City: New York Mills
State: New York
ZIP Code: 13417-1491
Phone: (315) 281-7294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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