Crystal Woodard, LMT
Massage Therapist in Dunkirk, NY. Individual provider (NPI-1).
NPI number1689201741
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1689201741
- Entity type
- Individual (NPI-1)
- Name
- Crystal Woodard
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 025764-1 | NY | Yes |
Practice location
91 E 4th StDunkirk, NY 14048-2224
Phone 716-363-0900
Mailing address
2079 Straight RdForestville, NY 14062-9658
Phone 716-397-4488
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