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Individual

HALLEL CREVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
430 5TH ST, BROOKINGS, SD 57006-2007
(605) 695-6447
Mailing address
430 5TH ST, BROOKINGS, SD 57006-2007
(605) 695-6447
(605) 939-7114

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11551
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407393739
SD
Enumeration date
10/18/2022
Last updated
10/18/2022
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