CRYSTAL L DAVIS


Address: 139 1st Ave. Sw, Castle Rock, WA 98611
Phone: 3602742353

CRYSTAL L DAVIS (NPI# 1417002064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417002064
Entity Type Individual
Full Name CRYSTAL L DAVIS
Other Name CRYSTAL L HOTTELL
Credential LMP
Practice Address 139 1st Ave. Sw
Castle Rock
WA 98611
Mailing Address 224 Paine Rd
Castle Rock
WA 98611-8708
Practice Telephone 3602742353
Practice Fax Number 3602742354
Mailing Telephone 3602742353
Mailing Fax Number 3602742354
Enumeration Date 2007-01-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA00019024 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA AMERICAN SPECIALTY HEALTH 1055113 01
WA REGENCE BLUE SHIELD 3804HO 01

Other Providers CRYSTAL DAVIS

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1669963708 Crystal Leigh Davis Counselor 43 Leopard Rd Ste 203, Paoli, PA 19301-1552 2018-05-24
1144731365 Crystal Dawn Davis Pharmacist 3501 36th Ave Nw, Norman, OK 73072-2429 2017-10-15
1801268313 Crystal Davis Counselor 2210 Line Ave Ste 207, Shreveport, LA 71104-2134 2015-10-22
1558750349 Crystal Davis Occupational Therapy Assistant 6932 County Road 1215, Flint, TX 75762-9176 2015-01-15
1154738573 Crystal Davis Registered Nurse 20129 Tracey St, Detroit, MI 48235-1570 2014-07-17
1427300516 Crystal Mary Davis Counselor 15 Adna Rd, Bristol, CT 06010-2719 2012-10-12
1184802712 Crystal Renee Davis Physician Assistant 4963 W. 135th St, Leawood, KS 66224 2008-02-06
1518501741 Crystal Davis Behavior Technician 6200 Virginia Pkwy, Mckinney, TX 75071-5504 2019-10-31
1033681523 Crystal Nichole Davis Dental Assistant 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 2018-12-20
1801379631 Crystal Davis Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2018-09-07

Office Location

Street Address 139 1ST AVE. SW
City CASTLE ROCK
State WA
Zip Code 98611

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942568522 Almost Angels Home Care Agency, LLC In Home Supportive Care 211 Front Ave Sw, Castle Rock, WA 98611 2012-05-02
1922204866 Emma V Torres Baltazar Md Pllc Family Medicine 606 Se Roake Avenue, Castle Rock, WA 98611 2007-06-26
1134284060 Pt Northwest of Longview Inc Physical Therapist 20 Cowlitz, Castle Rock, WA 98611 2006-12-22
1306857800 Castle Rock Pharmacy Inc Pharmacy 117 1st Sw, Castle Rock, WA 98611 2006-08-10
1619901592 Emma V. Torres-baltazar Family Medicine 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 2006-07-10
1427005164 Gregory Loren Finkas Chiropractor 1254 Mt St Helens Way Ne, Suite E, Castle Rock, WA 98611 2006-05-28
1164490058 City of Castle Rock Ambulance 146 A Street Sw, Castle Rock, WA 98611 2006-03-08
1962496083 Beverly M Search Registered Nurse 139 1st Ave Sw, Castle Rock, WA 98611 2005-09-02
1235623844 Tina M Pond Registered Nurse 2232 S Silver Lake Rd, Castle Rock, WA 98611 2018-06-18
1801266481 Cowlitz Family Health Center Clinic/Center 139 1st Ave Sw, Castle Rock, WA 98611 2015-09-25
Find all providers in zip 98611

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740896307 Ann E Adams Massage Therapist 4714 Milestone Ln Ste 115, Castle Rock, CO 80104-7907 2020-09-18
1902425085 Denise Harris-frazier Massage Therapist 405 S Wilcox St Ste 206, Castle Rock, CO 80104-1957 2020-04-09
1073970760 Mindful Living Possibilities Massage Therapist 210 5th St Ste B, Castle Rock, CO 80104-2492 2016-01-26
1326394636 Jennifer Nynas Massage Therapist 710 South St, Castle Rock, CO 80104-2621 2012-07-24
1922366889 Health Connections of Castle Rock, Inc. Massage Therapist 323 Metzler Dr #105, Castle Rock, CO 80104 2012-04-30
1356642300 Leah Cooke Massage Therapist 350 Powell Rd, Castle Rock, WA 98611-9063 2010-11-08
1366774341 Warren Crowder Massage Therapist 323 Metzler Dr Ste 105, Castle Rock, CO 80108-7625 2010-02-02
1962732701 Shannon Lee Lopez Massage Therapist 3189 W Calypso Ct, Castle Rock, CO 80109-2826 2009-12-29
1326376823 Jennifer Nicole Farrelly Massage Therapist 220 Pogue Ln, Castle Rock, WA 98611-9391 2009-11-23
1316109580 Jennifer Lallier Massage Therapist 5407 E Courtney Ave, Castle Rock, CO 80104-9777 2008-06-30
Find all providers in CASTLE ROCK

Competitor

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City CASTLE ROCK
Zip Code 98611

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Dataset Information

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.

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