CRYSTAL RENEA LOCKE LMT
NPI 1285935627
Massage Therapist in Joseph, OR
Active since November 16, 2010
About Crystal Renea Locke Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL RENEA LOCKE LMT (NPI 1285935627) is an individual massage therapist in Joseph, Oregon, licensed in Oregon (7487) and active in the NPI registry since November 2010.
NPPES Registry Identity
NPI1285935627
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCRYSTAL RENEA LOCKECredential: LMT
Location Address701 S LAKE STJoseph, OR 97846
Mailing AddressPo Box 531, 701 S Lake StJoseph, OR 97846 · (541) 432-3011
Phone(541) 432-3011
Sole ProprietorYes
Enumeration DateNovember 16, 2010
✔ NPI 1285935627 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 OR · 7487
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.
701 S LAKE ST, Joseph, OR 97846
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285935627, enumerated as an "individual" on November 16, 2010.
The provider is located at 701 S LAKE ST JOSEPH, OR 97846 and the phone number is (541) 432-3011.
Massage Therapist with taxonomy code 225700000X.