Individual provider · NPI-1

Crystal Burnham, L.M.T.

Massage Therapist · Albany, NY

NPI number1386955128
StatusActive
Last updated in NPPESJun 26, 2010

Details

NPI
1386955128
Entity type
Individual (NPI-1)
Name
Crystal Burnham
Credential
L.M.T.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 26, 2010
Last updated
Jun 26, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist27 023766NYYes

Practice location

18 Computer Dr W
Suite 111
Albany, NY 12205-1616

Phone 518-522-7297

Mailing address

221 10th St
Troy, NY 12180-2927

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