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Crystal Ann Lake, LMT
Massage Therapist in Sumner, Washington
NPI 1508344383

Crystal Ann Lake is a Massage Therapist based in Sumner, WA. Crystal Ann Lake practices in Sumner, WA and has the professional credentials of LMT. The NPI Number for Crystal Ann Lake is 1508344383 and holds a License No. MA60879902 (Washington).

The current practice location address for Crystal Ann Lake is 5814 Graham Ave Ste 101, Sumner, WA and can be reached out via phone at 253-891-7093 and via fax at 951-973-7216.

Location: 5814 Graham Ave Ste 101, Sumner, WA, 98390-2728
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Provider Profile Details
NPI Number
1508344383
Provider Name
Crystal Ann Lake
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
5814 Graham Ave Ste 101, Sumner, WA, 98390-2728
Phone Number
253-891-7093
Fax Number
951-973-7216
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60879902 01 WA MASSAGE THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
5814 Graham Ave Ste 101
City
State
Zip
98390-2728
Phone Number
253-891-7093
Fax Number
951-973-7216
person
Provider Business Mailing Address Details
Address
5814 Graham Ave Ste 101
City
State
Zip
98390-2728
Phone Number
253-891-7093
Fax Number
951-973-7216
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA60879902 (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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