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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030625-1 (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.
Other massage therapist providers in New York Mills
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.