Individual provider Active NPI

Krystal Bonner, LMT

  • Massage Therapist
  • Casa Grande, AZ
National Provider Identifier
1942111810
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-30019 Issued in AZ
Practice address
312 W 10TH St Ste 2
Casa Grande, AZ 85122-3940
Phone
(520) 222-7385
Fax
(866) 727-9116
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-30019 AZ Primary

Addresses

Primary practice location

312 W 10TH St Ste 2
Casa Grande, AZ 85122-3940

Mailing address

312 W 10TH St Ste 2
Casa Grande, AZ 85122-3940
Phone (520) 222-7385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1942111810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 10TH ST STE 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223940",
            "telephone_number": "520-222-7385",
            "fax_number": "866-727-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 10TH ST STE 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223940",
            "telephone_number": "520-222-7385",
            "fax_number": "866-727-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KRYSTAL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-30019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.