KRYSTAL MAIDEN LCMT LE NPI 1760105787

NPI Information

  • NPI: 1760105787
  • Provider Name: KRYSTAL MAIDEN, LCMT, LE
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 17222 HARLEM AVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 468-8957

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NPI Details

Krystal Maiden, LCMT, LE is a massage therapist in Tinley Park, IL. 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. Krystal Maiden, LCMT, LE NPI is 1760105787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17222 HARLEM AVE
TINLEY PARK, IL
ZIP 60477-368
Phone: (708) 468-8957

The enumeration date for this NPI number is 9/23/2022 and was last updated on 9/23/2022.

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
1225700000XMassage Therapist227014737ILLINOISYes

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: 11/21/2025

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