Crystal Kay Bashore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG002865 Issued in PA

Practice address

1000 S Lincoln Ave
Lebanon, PA 17042-7165

Phone

(717) 270-9798

Fax

(717) 270-9798

NPI assigned

Sep 6, 2016

Last updated

Jan 4, 2021By 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 2

Addresses

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1548717648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 RITA LN",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425864",
            "telephone_number": "717-644-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LINCOLN AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427165",
            "telephone_number": "717-270-9798",
            "fax_number": "717-270-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORE",
        "first_name": "CRYSTAL",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG002865",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trajan Barrera, DO
• Kaley Elizabeth Barrett, CRNP
• Carolyn Marie Bartell, PA-C
• Michael David Barton Jr., D.M.D.
• Kathleen F Bashista, M.ED.
• Devon Walter Bashore, PHARMD
• Hannah Elizabeth Bashore, MS, LAT, ATC
• Jane E Bates, PA-C
• Amy Bauer
• Linda Bayer

• Massage Therapist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.