Crystal Massage Spa

NPI #1730939331 in Herndon, Virginia

Provider Information

NPI Number: 1730939331
Entity Type: Organization
Organization Name: Crystal Massage Spa
Primary Specialty: Massage Therapist
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 102 ELDEN ST STE 18
City: Herndon
State: Virginia
ZIP Code: 20170-4839
Phone: (571) 352-4502

Authorized Official

Name: MIN SHI
Title: MEMBER
Phone: (571) 352-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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