Individual provider · Type 1 NPI

Crystal Lynn Spencer, LMT

Massage Therapist · Hayden, ID

NPI number 1164067609 Active

Practice location

9407 N Government Way, Suite 3
Hayden, ID 83835-7414

Call (208) 659-2296 Map

Mailing address

9407 N. Government Way, Suite 3
Hayden, ID 83835-7414

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-3615 (ID)

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 1164067609

Crystal Lynn Spencer, LMT's National Provider Identifier is 1164067609, issued on Nov 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Jun 8, 2023.