Lisa Crassi, CMT
Individual provider Active NPI Massage Therapist · Coarsegold, CA
NPI 1346950813 · NPPES record last updated Nov 25, 2022
Key facts
- NPI
- 1346950813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 87640 (CA)
- Practice address
- Mobile Only
Coarsegold, CA 93614-8808 - Phone
- (559) 330-1513
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 87640 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainside Mobile Massage | Massage Therapist | Current |
Accepting new patients |
Locations
49700 Road 426
Oakhurst, CA 93644
Phone (559) 330-1513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 87640 | CA | Yes |
Addresses
Primary practice location
Mobile Only
Coarsegold, CA 93614-8808
Mailing address
41549 Long Hollow Dr
Coarsegold, CA 93614-8808
Phone (559) 330-1513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87640 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
Other providers in Coarsegold, CA
- Camarena Health
- Melissa Campos
- Central Valley Mobility
- Coarsegold Creek Medical Center
- Coarsegold Physical Therapy, Incorporated
- Ilsook Park Dahlin
- Stephen Dahlin
- Irene Rojas Elizondo
- Maria Denise Elliott
- Martha Grace Foster
All providers in Coarsegold, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 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.