CRYSTAL WARD (NPI# 1376907832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376907832 |
| Entity Type | Individual |
| Full Name | CRYSTAL WARD |
| Credential | L.M.T |
| Practice Address |
3314 Granville Hwy Gainesboro TN 38562-6182 |
| Practice Telephone | 9312687229 |
| Mailing Telephone | 9312687229 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0000008866 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNESSEE MASSAGE LICENSURE BOARD | 0000008866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1235649344 | Crystal L Ward | Social Worker | 1010 Lake St Ste 616, Oak Park, IL 60301-1136 | 2017-10-03 |
| 1861930752 | Crystal Ward | Licensed Practical Nurse | 394 Sw Finley Little Ln, Lake City, FL 32024-4857 | 2017-02-10 |
| 1669835682 | Crystal Ward | Case Manager/Care Coordinator | 106a Huntington Dr, Monroe, LA 71202 | 2016-03-29 |
| 1720146459 | Crystal Ward | Speech-Language Pathologist | 122 Bowen Rd, Anderson, SC 29621-3608 | 2006-12-05 |
| 1891338323 | Crystal Lynn Ward | Peer Specialist | 604 S Walnut St, Stillwater, OK 74074-4222 | 2019-10-28 |
| 1104485010 | Crystal Amanda Ward | Nurse Practitioner | 8250 W Judge Perez Dr, Chalmette, LA 70043-1612 | 2019-06-13 |
| 1558897645 | Crystal Ward | Pharmacist | 1580 E Main St, Cortez, CO 81321-2934 | 2017-05-10 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| 1528513603 | Crystal Ward | Registered Nurse | 480 N Bisbee Ave, Willcox, AZ 85643-1509 | 2016-08-18 |
| Street Address |
3314 GRANVILLE HWY |
| City | GAINESBORO |
| State | TN |
| Zip Code | 38562-6182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023768 | Grandkin Caregivers LLC | In Home Supportive Care | 107 East Gore Avenue, Gainesboro, TN 38562 | 2019-09-20 |
| 1861704587 | Gainesboro Ultimate Med Service Corporation | Clinic/Center | 179 Buck Branch Ln, Gainesboro, TN 38562 | 2010-07-10 |
| 1548582125 | Thomas J Mabry & Associates | Assisted Living Facility | 100 Jettie Mabry Lane, Gainesboro, TN 38562 | 2010-02-23 |
| 1114040292 | Thomas J Mabry & Assoc Inc | Skilled Nursing Facility | 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 | 2007-04-06 |
| 1861403933 | Gainesboro Rx Corp | Pharmacy | 100 Hull Avenue, Gainesboro, TN 38562 | 2006-08-11 |
| 1194748566 | Anderson & Haile Drug Store | Durable Medical Equipment & Medical Supplies | 101 West Gore Ave, Gainesboro, TN 38562 | 2006-07-25 |
| 1861496341 | Jackson County Court House Executive | Ambulance | 316 N. Murray Street, Gainesboro, TN 38562 | 2005-06-13 |
| 1699172312 | Teneal Faye Jenkins | Pharmacist | 101 West Gore Ave, Gainesboro, TN 38562-0065 | 2014-11-24 |
| 1336312735 | Elijah M Dudney | General Practice | 2546 Freestate Road, Gainesboro, TN 38562-0126 | 2008-04-07 |
| 1235418690 | Alexa Allison Miller | Dentist | 103 East Gore Ave, Gainesboro, TN 38562-0595 | 2011-08-16 |
| Find all providers in zip 38562 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
| 1598363012 | Derrick Dewayne Crawford | Massage Therapist | 4701 Old Hickory Blvd Apt C202, Old Hickory, TN 37138-2073 | 2020-10-16 |
| 1003414293 | Jack Weair Wooten Jr. | Massage Therapist | 2612 W Heiman St Apt D38, Nashville, TN 37208-1818 | 2020-10-12 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1992312987 | Louise Thackston Rikard | Massage Therapist | 483 Russell Hill Rd, Speedwell, TN 37870-7161 | 2020-09-24 |
| 1275149320 | Zachary Reagan Riddle | Massage Therapist | 206 Copper Ridge Trl, Rockvale, TN 37153-4655 | 2020-09-23 |
| 1497361729 | Marie C Anderson | Massage Therapist | 3157 Skinner Dr, Antioch, TN 37013-3965 | 2020-09-22 |
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1922613587 | Tina Marie Bridges Byaridge | Massage Therapist | 300 E Vine St, Murfreesboro, TN 37130-4248 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | GAINESBORO |
| Zip Code | 38562 |
Please comment or provide details below to improve the information on CRYSTAL WARD.
| 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.