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Mrs. Crystal M Breedlove, LMT
Massage Therapist in Vancouver, Washington
NPI 1366920670

Crystal M Breedlove is a Massage Therapist based in Vancouver, WA. Crystal M Breedlove practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Crystal M Breedlove is 1366920670 and holds a License No. MA60557076 (Washington).

The current practice location address for Crystal M Breedlove is 12214 Se Mill Plain Blvd Ste 101, Vancouver, WA and can be reached out via phone at 360-944-1800.

Location: 12214 Se Mill Plain Blvd Ste 101, Vancouver, WA, 98684-6019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366920670
Provider Name
Crystal M Breedlove
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
12214 Se Mill Plain Blvd Ste 101, Vancouver, WA, 98684-6019
Phone Number
360-944-1800
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60557076 01 MASSAGE LICHENS NUMBER
MA60557076 01 WA LMT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
12214 Se Mill Plain Blvd Ste 101
City
Vancouver
State
Washington
Zip
98684-6019
Phone Number
360-944-1800
Fax Number
person
Provider Business Mailing Address Details
Address
12214 Se Mill Plain Blvd Ste 101
City
Vancouver
State
Washington
Zip
98684-6019
Phone Number
360-944-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60557076 (Washington)
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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