Crystal Boykin, MASSAGE THERAPIST

Individual provider Active NPI Massage Therapist · Manchester, GA

NPI 1225922909 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1225922909
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT013078 (GA)
Practice address
205 Willie Hollaway PL
Manchester, GA 31816-1105
Phone
(770) 328-4083
NPI assigned
Jun 5, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT013078GAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT013078 GA Yes

Addresses

Primary practice location

205 Willie Hollaway PL
Manchester, GA 31816-1105

Mailing address

205 Willie Hollaway PL
Manchester, GA 31816-1105
Phone (770) 328-4083

Other providers in Manchester, GA

All providers in Manchester, GA · Massage Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.