Hallel Crevier, LMT
Individual provider Active NPI Massage Therapist · Brookings, SD
NPI 1225754575 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1225754575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT11551 (SD)
- Practice address
- 430 5TH St
Brookings, SD 57006-2007 - Phone
- (605) 695-6447
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT11551 | SD | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT11551 | SD | Yes |
Addresses
Primary practice location
430 5TH St
Brookings, SD 57006-2007
Mailing address
430 5TH St
Brookings, SD 57006-2007
Phone (605) 695-6447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407393739 | Medicaid | SD |
Other providers in Brookings, SD
- Cornerstone Caregiving East LLC
- Lori Couser
- Rebecca Cover
- CP Twitero, PC
- Crevier Chiropractic LLC
- Isaiah Andrew Crevier
- Laura Crooks
- Ronald Louis Cruz
- Autumn A Culhane
- Dana Culver
All providers in Brookings, SD · Massage Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.