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CRYSTAL WATERS LMT
NPI 1114400132
Massage Therapist in New York Mills, NY

Active since September 14, 2018
587 MAIN ST STE 126, NEW YORK MILLS, NY 13417(315) 281-7294 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Waters Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL WATERS LMT (NPI 1114400132) is an individual massage therapist in New York Mills, New York, licensed in New York (030625-1) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1114400132
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCRYSTAL WATERSCredential: LMT
Location Address587 MAIN ST STE 126New York Mills, NY 13417-1491
Mailing Address324 W Embargo StRome, NY 13440-5036
Phone(315) 281-7294
Sole ProprietorYes
Enumeration DateSeptember 14, 2018
✔ NPI 1114400132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 030625-1
Definition
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.
587 MAIN ST STE 126, New York Mills, NY 13417
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Waters's NPI number?

The NPI number for Crystal Waters is 1114400132. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Crystal Waters located?

Crystal Waters practices at 587 Main St Ste 126, New York Mills, NY 13417. The listed phone number is (315) 281-7294.

What is Crystal Waters's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Crystal Waters was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.