CHRYSTAL HAYNES LLC NPI 1104468529

NPI Information

NPI: 1104468529
Provider Name: CHRYSTAL HAYNES, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
524 S MAIN ST
COLVILLE, WA
ZIP 99114
Phone: (509) 684-1420
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CHRYSTAL HAYNES, LLC is a massage therapist in Colville, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. CHRYSTAL HAYNES, LLC NPI is 1104468529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

524 S MAIN ST
COLVILLE, WA
ZIP 99114-504
Phone: (509) 684-1420

The provider's authorized official is Chrystal Lerie Anne Haynes .
The authorized official title is Owner and has the following contact phone number (509) 684-1420.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1134544620	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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