Individual
CRYSTAL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3314 GRANVILLE HWY, GAINESBORO, TN 38562-6182
(931) 268-7229
Mailing address
3314 GRANVILLE HWY, GAINESBORO, TN 38562-6182
(931) 268-7229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000008866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000008866
TENNESSEE MASSAGE LICENSURE BOARD
TN
Enumeration date
04/11/2016
Last updated
04/11/2016
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