Crystal Massage Spa
Massage Therapist in Herndon, VA. Organization (NPI-2).
NPI number1730939331
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1730939331
- Entity type
- Organization (NPI-2)
- Legal business name
- Crystal Massage Spa
- Organization subpart
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Mar 24, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
102 Elden St Ste 18Herndon, VA 20170-4839
Phone 571-352-4502
Mailing address
102 Elden St Ste 18Herndon, VA 20170-4839
Phone 571-352-4502
Other practice locations
150 Elden St Ste 150
Herndon, VA 20170-4855
Herndon, VA 20170-4855
Phone 571-519-9086
Authorized official
Min Shi
Member
5713524502
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