Individual provider · Type 1 NPI

David Leroy Crettol, L.M.T.

Massage Therapist · Coeur D Alene, ID

NPI number 1841609856 Active

Practice location

2005 N Ironwood Pkwy Ste 216
Coeur D Alene, ID 83814-2647

Call (208) 659-6459 Map

Mailing address

212 W Ironwood Dr Ste D
Coeur D Alene, ID 83814-1403

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X7258 (NM)
Massage Therapist Primary 225700000XMAS-3256 (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 1841609856

David Leroy Crettol, L.M.T.'s National Provider Identifier is 1841609856, issued on Aug 5, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 22, 2020.