MR. DAVID LEROY CRETTOL L.M.T. NPI 1841609856

NPI Information

NPI: 1841609856
Provider Name: MR. DAVID LEROY CRETTOL, L.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2005 N IRONWOOD PKWY STE 216
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 659-6459
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MR. David Leroy Crettol, L.M.T. is a massage therapist in Coeur D Alene, ID. 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. MR. David Leroy Crettol, L.M.T. NPI is 1841609856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2005 N IRONWOOD PKWY STE 216
COEUR D ALENE, ID
ZIP 83814-647
Phone: (208) 659-6459

The enumeration date for this NPI number is 8/5/2014 and was last updated on 4/22/2020.

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		MAS-3256	IDAHO	Yes
2	225700000X	Massage Therapist		7258	NEW MEXICO	No

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: 4/28/2024

NPI Synchronization or Removal

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