Individual provider · Type 1 NPI
Crystal Lee Johnson, LMT
Massage Therapist · South Setauket, NY
NPI number
1316689094
Active
Practice location
20 Balin Ave
South Setauket, NY 11720-1122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031236 (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 South Setauket
About NPI 1316689094
Crystal Lee Johnson, LMT's National Provider Identifier is 1316689094, issued on Apr 12, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Setauket, NY. The record was last updated on Apr 12, 2022.