MRS. CRYSTAL LYNN COLVIN (NPI# 1457759292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457759292 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LYNN COLVIN |
| Credential | LMT |
| Practice Address |
16334 County Road 30 Maple Grove MN 55311-1207 |
| Practice Telephone | 7634161799 |
| Mailing Telephone | 7634161799 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2014-117 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063943637 | Crystal Colvin | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2017-03-24 |
| Street Address |
16334 COUNTY ROAD 30 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255664736 | Amy Marie Erickson | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-15 |
| 1578162996 | Ashley Ford | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2020-10-19 |
| 1932762135 | Lana Dehmer | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2019-04-15 |
| 1578046157 | Megan M Saiko | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2018-09-11 |
| 1235680992 | Mary Johnson | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2016-10-18 |
| 1992253884 | Brianna Marie Deboer | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2016-09-20 |
| 1396001467 | Nord Chiropractic, P.a. | Chiropractor | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2012-04-03 |
| 1902130149 | Jessica Jean Kirkpatrick | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-21 |
| 1659604015 | Teresa Louise Trask | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| 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 |
|---|---|---|---|---|
| 1871108704 | Lillian Musungu Shiraku | Massage Therapist | 12970 63rd Ave N, Maple Grove, MN 55369-6001 | 2020-09-08 |
| 1134666928 | Emily Starr Canning-williams | Massage Therapist | 7225 Hemlock Ln N, 214, Maple Grove, MN 55369-5505 | 2017-01-31 |
| 1184168064 | Crystal Lee Williams | Massage Therapist | 13700 Reimer Dr N Ste 240, Maple Grove, MN 55311-4530 | 2016-12-12 |
| 1134409121 | Melissa Kae Redfield | Massage Therapist | 12069 Elm Creek Blvd N, Maple Grove, MN 55369-7094 | 2011-08-22 |
| 1255664736 | Amy Marie Erickson | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-15 |
| 1932360443 | Denise Sandra Bekkum | Massage Therapist | 6514 Bluebird Dr, Maple Grove, MN 55369-6010 | 2008-06-18 |
| 1871667444 | Ross Alexander Bergfalk | Massage Therapist | 7237 Forestview Ln N, Maple Grove, MN 55369-5501 | 2006-11-17 |
| 1578162996 | Ashley Ford | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2020-10-19 |
| 1023660982 | Pamela January | Massage Therapist | 7237 Forestview Ln N, Maple Grove, MN 55369-5501 | 2019-07-11 |
| 1932762135 | Lana Dehmer | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2019-04-15 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on MRS. CRYSTAL LYNN COLVIN.
| 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.