Krystal Imani Paisley, AS, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA99736 Issued in FL

Practice address

4236 Saint Johns Ave
Jacksonville, FL 32210-2102

Phone

(904) 381-8686

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

State licenses

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1427856368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 W SAMPLE RD UNIT 403",
            "address_2": "SUITE 446",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673272",
            "telephone_number": "754-715-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102102",
            "telephone_number": "904-381-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISLEY",
        "first_name": "KRYSTAL",
        "middle_name": "IMANI",
        "credential": "AS, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA99736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Relief Institute LLC
• Pain Spine & Wellness LLC (Dedicated Pain & Wellness)
• Soe Paing, MD
• Emily Ivy Painter, CPO
• Mark Painter, BCCC
• Raymond Pak, MD
• Sang-Woo Pak, M.D.
• Song Hyon Pak, M.D.
• Andrew John Pakchoian, D.D.S.
• Ryan Alexander Pal, APRN

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.