Clark, Crystal

Clark, Crystal is an sole proprietor health care provider with primary practice located at 12506 Ne 4Th Ave Apt 101 , North Miami FL 33161-4668. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Crystal can be contacted via phone (305) 714-2159.

Contact Information

Primary practice address
12506 Ne 4Th Ave Apt 101 North Miami FL 33161-4668
Phone: (305) 714-2159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA83036 Florida

Profile Details

NPI number 1619581311
LBN Legal business name Clark, Crystal
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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