CRYSTAL CLARK LMT
NPI 1619581311
Massage Therapist in North Miami, FL

Q: What is Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1619581311. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Crystal Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Clark was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 01, 2020

12506 NE 4TH AVE APT 101, NORTH MIAMI, FL 33161(305) 714-2159 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Crystal Clark Lmt NPPES

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

CRYSTAL CLARK LMT (NPI 1619581311) is an individual massage therapist in North Miami, Florida, licensed in Florida (MA83036) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1619581311

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameCRYSTAL CLARKCredential: LMT

Location Address12506 NE 4TH AVE APT 101North Miami, FL 33161-4668

Mailing Address12506 Ne 4th Ave Apt 101North Miami, FL 33161-4668 · (305) 714-2159

Phone(305) 714-2159

Sole ProprietorYes

Enumeration DateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1619581311 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 FL · MA83036

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.

12506 NE 4TH AVE APT 101, North Miami, FL 33161

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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 Clark's NPI number?

The NPI number for Crystal Clark is 1619581311. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Crystal Clark located?

Crystal Clark practices at 12506 NE 4th Ave Apt 101, North Miami, FL 33161. The listed phone number is (305) 714-2159.

What is Crystal Clark'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 Clark was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.