MRS. CRYSTAL LYNN COLVIN LMT - NPI 1457759292 - Massage Therapist in Maple Grove, MN

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mrs. Crystal Lynn Colvin Lmt NPPES

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

MRS. CRYSTAL LYNN COLVIN LMT (NPI 1457759292) is an individual massage therapist in Maple Grove, Minnesota, licensed in Minnesota (2014-117) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1457759292

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. CRYSTAL LYNN COLVINCredential: LMT

Location Address16334 COUNTY ROAD 30Maple Grove, MN 55311-1207

Mailing Address16334 County Road 30Maple Grove, MN 55311-1207 · (763) 416-1799

Phone(763) 416-1799

Sole ProprietorYes

Enumeration DateDecember 10, 2014

✔ NPI 1457759292 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 MN · 2014-117

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.

16334 COUNTY ROAD 30, Maple Grove, MN 55311

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