Chrystal Haynes, LLC
Massage Therapist in Colville, WA. Organization (NPI-2).
NPI number1104468529
StatusActive
Last updated in NPPESOct 17, 2019
Details
- NPI
- 1104468529
- Entity type
- Organization (NPI-2)
- Legal business name
- Chrystal Haynes, LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2019
- Last updated
- Oct 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
524 S Main StColville, WA 99114-2504
Phone 509-684-1420
Mailing address
524 S Main StColville, WA 99114-2504
Phone 509-684-1420
Authorized official
Chrystal Lerie Anne Haynes
Owner
5096841420
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