Individual provider · Type 1 NPI
Crystal Dakota Stevenson, LMT, NCTMB, CIMI
Massage Therapist · Chicago, IL
NPI number
1942463559
Active
Practice location
7722 S Sangamon St
Chicago, IL 60620-2810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.008055 (IL) |
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 1942463559
Crystal Dakota Stevenson, LMT, NCTMB, CIMI's National Provider Identifier is 1942463559, issued on Jul 3, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Oct 2, 2008.