person
Crystal Lynn Spencer, LMT
Massage Therapist in Hayden, Idaho
NPI 1164067609

Crystal Lynn Spencer is a Massage Therapist based in Hayden, ID. Crystal Lynn Spencer practices in Hayden, ID and has the professional credentials of LMT. The NPI Number for Crystal Lynn Spencer is 1164067609 and holds a License No. MAS-3615 (Idaho).

The current practice location address for Crystal Lynn Spencer is 9407 N Government Way, Hayden, ID and can be reached out via phone at 208-659-2296.

Location: 9407 N Government Way, Hayden, ID, 83835-7414
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Provider Profile Details
NPI Number
1164067609
Provider Name
Crystal Lynn Spencer
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
9407 N Government Way, Hayden, ID, 83835-7414
Phone Number
208-659-2296
Fax Number
Provider Enumeration Date
11/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
455329257 01 ID MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
9407 N Government Way
City
State
Zip
83835-7414
Phone Number
208-659-2296
Fax Number
person
Provider Business Mailing Address Details
Address
9407 N Government Way
City
State
Zip
83835-7414
Phone Number
208-659-2296
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-3615 (Idaho)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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