Individual
CRYSTAL A WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
821 N NOVA RD, DAYTONA BEACH, FL 32117-4689
(386) 226-0081
(386) 226-2148
Mailing address
1139 LIVE OAK AVE, DAYTONA BEACH, FL 32114-3911
(386) 547-9857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60861
MA60861
FL
Enumeration date
11/29/2010
Last updated
11/29/2010
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