Individual provider · Type 1 NPI

Crystal Waters, LMT

Massage Therapist · New York Mills, NY

NPI number 1114400132 Active

Practice location

587 Main St Ste 126
New York Mills, NY 13417-1491

Mailing address

324 W Embargo St
Rome, NY 13440-5036

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030625-1 (NY)

Massage Therapist: 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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About NPI 1114400132

Crystal Waters, LMT's National Provider Identifier is 1114400132, issued on Sep 14, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York Mills, NY. The record was last updated on Sep 14, 2018.