Crystal Ward, L.M.T
Individual provider Active NPI Massage Therapist · Gainesboro, TN
NPI 1376907832 · NPPES record last updated Apr 11, 2016
Key facts
- NPI
- 1376907832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0000008866 (TN)
- Practice address
- 3314 Granville Hwy
Gainesboro, TN 38562-6182 - Phone
- (931) 268-7229
- NPI assigned
- Apr 11, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000008866 | TN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0000008866 | TN | Yes |
Addresses
Primary practice location
3314 Granville Hwy
Gainesboro, TN 38562-6182
Mailing address
3314 Granville Hwy
Gainesboro, TN 38562-6182
Phone (931) 268-7229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000008866 | Other | TN | TENNESSEE MASSAGE LICENSURE BOARD |
Other providers in Gainesboro, TN
- Erin Kate Stooksbury
- The Grove Family Wellness LLC
- Thomas J Mabry & Associates
- Thomas J Mabry & Associates, Inc.
- Upper Cumberland Rural Health Clinic PLLC
- Waters of Gainesboro Assisted Living Facility
- Waters of Gainesboro LLC
- Jenna Rae Watson-Duncan
All providers in Gainesboro, TN · Massage Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2016. 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.