Individual provider · Type 1 NPI
Crystal Renea Locke, LMT
Massage Therapist · Joseph, OR
NPI number
1285935627
Active
Practice location
701 S Lake St
Joseph, OR 97846
Mailing address
PO Box 531, 701 S Lake St
Joseph, OR 97846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7487 (OR) |
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.
About NPI 1285935627
Crystal Renea Locke, LMT's National Provider Identifier is 1285935627, issued on Nov 16, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Joseph, OR. The record was last updated on Nov 16, 2010.