Active NPI
Crystal Lynn Cormier, LMT
- Massage Therapist
- Sulphur, LA
National Provider Identifier
1467270975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4660
- Practice address
- 1414 Edwards Rd Lot 94
Sulphur, LA 70663-0065 - Phone
- (337) 368-5021
- NPI assigned
- Oct 2, 2024
- Last updated
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4660 | LA | Primary |
Addresses
Primary practice location
1414 Edwards Rd Lot 94
Sulphur, LA 70663-0065
Mailing address
1414 Edwards Rd Lot 94
Sulphur, LA 70663-0065
Phone (337) 368-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4660 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1467270975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 EDWARDS RD LOT 94",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706630065",
"telephone_number": "337-368-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 EDWARDS RD LOT 94",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706630065",
"telephone_number": "337-368-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "4660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
- Larry Dale Collins Jr., PHARMD
- Glenn Paul Comeaux
- Community Birth Group
- Conscious Impact Enterprises LLC (Bio Medical)
- Jennifer Cook, BCBA, LBA
- Cornerstone Hospital of Southwest (Cornerstone Hospital of Southwest Louisiana)
- Caroline Champagne Courville, M.D.
- Cusping Edge Dental Group LLC (Sulphur Dental Studio)
- Sarah Hassien Daigle
- Scott R Darbonne, PHARMACIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.