Individual provider · Type 1 NPI

Krystal Marie Wall, LMT

Massage Therapist · Dickinson, ND

NPI number 1962278788 Active

Practice location

30 7th St W
Dickinson, ND 58601-4335

Call (208) 739-6456 Map

Mailing address

427 Tweeten Pl
Dickinson, ND 58601-6235

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1536 (ND)

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 1962278788

Krystal Marie Wall, LMT's National Provider Identifier is 1962278788, issued on Dec 1, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dickinson, ND. The record was last updated on Dec 1, 2023.