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CRYSTAL ANN LAKE LMT
NPI 1508344383
Massage Therapist in Sumner, WA

Active since August 02, 2018
5814 GRAHAM AVE STE 101, SUMNER, WA 98390(253) 891-7093(951) 973-7216 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Ann Lake Lmt NPPES

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

CRYSTAL ANN LAKE LMT (NPI 1508344383) is an individual massage therapist in Sumner, Washington, licensed in Washington (MA60879902) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1508344383
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCRYSTAL ANN LAKECredential: LMT
Location Address5814 GRAHAM AVE STE 101Sumner, WA 98390-2728
Mailing Address5814 Graham Ave Ste 101Sumner, WA 98390-2728 · (253) 891-7093 · Fax (951) 973-7216
Phone(253) 891-7093
Fax(951) 973-7216
Sole ProprietorNo
Enumeration DateAugust 2, 2018
✔ NPI 1508344383 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 WA · MA60879902
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.
5814 GRAHAM AVE STE 101, Sumner, WA 98390
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Other Identifiers 1

OtherMA60879902WA · Massage Therapy License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOLAN SHAWN OMALLEY DPT
Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Pierce County (253) 891-7093
MICHAEL KEENAN HUFFINGTON DPT
Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Pierce County (951) 696-9353
SARA M WILLIAMS
Massage Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Pierce County (253) 891-7093
KRISTINA BONDAR DPT
Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Pierce County (253) 891-7093
BRANDI M OLSEN LMP
Specialist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Pierce County (253) 891-7093

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 Lake's NPI number?

The NPI number for Crystal Lake is 1508344383. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Crystal Lake located?

Crystal Lake practices at 5814 Graham Ave Ste 101, Sumner, WA 98390. The listed phone number is (253) 891-7093.

What is Crystal Lake's specialty?

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

What insurance does Crystal Lake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Crystal Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Lake was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.