Crystal A Wetzel, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60861 Issued in FL

Practice address

821 N Nova Rd
Daytona Beach, FL 32117-4689

Phone

(386) 226-0081

Fax

(386) 226-2148

NPI assigned

Nov 29, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1275835134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 LIVE OAK AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143911",
            "telephone_number": "386-547-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174689",
            "telephone_number": "386-226-0081",
            "fax_number": "386-226-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA60861",
            "identifier": "MA60861",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Rene Wells, A.R.N.P.
• Wellspring Health - Daytona Beach, LLC
• Dennis Y Wen, M.D.
• Alexandra Wendt, DC
• Amy Werner, BCBA
• Jerry Wayne Wharton II
• Brittany Leigh Wheat, COTA/L
• Novlett Annie Wheatle-Paul, LCSW
• Alexander White, MD
• Cassondra White, OT

• Massage Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.