DR. CRYSTAL MARTIN, LLC (NPI# 1154504819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154504819 |
Entity Type | Organization |
Organization Name | DR. CRYSTAL MARTIN, LLC |
Practice Address |
8730 Tallon Ln Ne Suite 104 Lacey WA 98516-6609 |
Mailing Address |
40402 62nd Ave E Eatonville WA 98328-9599 |
Practice Telephone | 8006891254 |
Mailing Telephone | 4059216564 |
Enumeration Date | 2007-12-17 |
Last Update Date | 2014-05-16 |
Authorized Official Name | DR. CRYSTAL DAWN MARTIN (OWNER/ CHIROPRACTOR) |
Authorized Official Telephone | 4059216564 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH 60394038 | WA | Chiropractic Providers |
Street Address |
8730 TALLON LN NE SUITE 104 |
City | LACEY |
State | WA |
Zip Code | 98516-6609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932653177 | Deanna Marie Limas | Massage Therapist | 8730 Tallon Ln Ne, #104, Lacey, WA 98516-6609 | 2016-08-04 |
1245655513 | New Leaf Massage, LLC | Massage Therapist | 8730 Tallon Ln Ne, Suite 104, Lacey, WA 98516-6609 | 2014-02-24 |
1801211255 | New Leaf Hyperbarics Olympia | Clinic/Center | 8730 Tallon Ln Ne, Suite 104, Lacey, WA 98516-6609 | 2014-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
Find all providers in zip 98516 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710400528 | Christopher Kliem | Chiropractor | 3201 Willamette Dr Ne Ste F, Lacey, WA 98516-1376 | 2017-07-24 |
1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
1932469657 | Finesse Chiropractic Ps | Chiropractor | 5401 Corporate Center Loop Se Ste K11, Lacey, WA 98503-5606 | 2012-05-29 |
1396039269 | Lee Allen Cousineau | Chiropractor | 2625 Willamette Dr Ne, Lacey, WA 98516-1312 | 2011-06-07 |
1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
1689816217 | Aaron C Odd | Chiropractor | 1307 Violet St. Se, Lacey, WA 98503-5710 | 2009-03-27 |
1295907442 | Sorem Family Chiropractic | Chiropractor | 4631 Whitman Ln Se, Lacey, WA 98513-2201 | 2008-03-27 |
1518144120 | Leva Incorporated | Chiropractor | 4704 Pacific Ave Se, Ste. B, Lacey, WA 98503-1200 | 2008-01-25 |
1023151933 | Scott W. Tromboni | Chiropractor | 8621 Martin Way E, Ste. 102, Lacey, WA 98516-5855 | 2007-02-14 |
1649311929 | Scott Allen Henderson | Chiropractor | 3663 College St Se Ste F, Lacey, WA 98503-3529 | 2007-02-09 |
Find all providers in LACEY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.