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Crystal L Davis, LMP
Massage Therapist in Castle Rock, Washington
NPI 1417002064

Crystal L Davis is a Massage Therapist based in Castle Rock, WA. Crystal L Davis practices in Castle Rock, WA and has the professional credentials of LMP. The NPI Number for Crystal L Davis is 1417002064 and holds a License No. MA00019024 (Washington).

The current practice location address for Crystal L Davis is 139 1St Ave. Sw, Castle Rock, WA and can be reached out via phone at 360-274-2353 and via fax at 360-274-2354.

Location: 139 1St Ave. Sw, Castle Rock, WA, 98611-8708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417002064
Provider Name
Crystal L Davis
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
139 1St Ave. Sw, Castle Rock, WA, 98611-8708
Phone Number
360-274-2353
Fax Number
360-274-2354
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1055113 01 WA AMERICAN SPECIALTY HEALTH
3804HO 01 WA REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
139 1St Ave. Sw
City
Castle Rock
State
Washington
Zip
98611
Phone Number
360-274-2353
Fax Number
360-274-2354
person
Provider Business Mailing Address Details
Address
139 1St Ave. Sw
City
Castle Rock
State
Washington
Zip
98611
Phone Number
360-274-2353
Fax Number
360-274-2354
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00019024 (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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