Individual provider · Type 1 NPI
Chrystle Williefay White, LMT
Massage Therapist · Big Lake, AK
NPI number
1366051203
Active
Practice location
12900 W Creek Frontage Rd
Big Lake, AK 99623-4880
Fax (907) 737-1429
Mailing address
PO Box 520794
Big Lake, AK 99652-0794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 107683 (AK) |
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.
Another provider at this address
Other massage therapist providers in Big Lake
About NPI 1366051203
Chrystle Williefay White, LMT's National Provider Identifier is 1366051203, issued on Jul 27, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Big Lake, AK. The record was last updated on Jul 27, 2020.