Spencer, Crystal Lynn
Spencer, Crystal Lynn is an individual health care provider with primary practice located at 9407 N Government Way Suite 3, Hayden ID 83835-7414. 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. Spencer, Crystal Lynn can be contacted via phone (208) 659-2296.Contact Information
Primary practice address
9407 N Government Way Suite 3
Hayden ID 83835-7414
Phone: (208) 659-2296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAS-3615 | Idaho |
Profile Details
| NPI number | 1164067609 |
|---|---|
| LBN Legal business name | Spencer, Crystal Lynn |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Jun 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164067609 | NPPES |
| Idaho | Other | 455329257 | MASSAGE THERAPY |
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