Individual provider · Type 1 NPI
Krystal Rain Bonner, LMT
Massage Therapist · Ypsilanti, MI
NPI number
1356040836
Active
Practice location
52 N Huron St
Ypsilanti, MI 48197-2608
Mailing address
719 W Michigan Ave
Ypsilanti, MI 48197-5316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501012042 (MI) |
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 1356040836
Krystal Rain Bonner, LMT's National Provider Identifier is 1356040836, issued on Feb 23, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ypsilanti, MI. The record was last updated on Feb 23, 2023.