Krystal Trevino

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA66554 Issued in FL

Practice address

209 S New Jersey Ave Apt 1
Tampa, FL 33609-3174

Phone

(813) 309-6503

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By 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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1699361337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S NEW JERSEY AVE APT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093174",
            "telephone_number": "813-309-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S NEW JERSEY AVE APT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093174",
            "telephone_number": "813-309-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT9640",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA66554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Trenz-Brower
• Tressaholic LLC
• Steven Jeffrey Tresser, MD
• Beatriz Treto Medina
• Ashley Adelina Trevino, MS, RMHCI
• Margarita Trevino
• Treyefecta Vision Holdings, LLC
• Tri-Lyfe Support Services Inc
• Nohora Patricia Triana, L.M.T.
• Yvette Triana, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.