Organization
KIVA CRUTCHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIVA L CRUTCHER LMT (MASSAGE THERAPIST)
(423) 704-1171
Entity
Organization
Contact information
Practice address
1127 PLAZA DR, HIXSON, TN 37343-5021
(423) 704-1171
Mailing address
1127 PLAZA DR, HIXSON, TN 37343-5021
(423) 704-1171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8241
TN
Other
Enumeration date
10/04/2014
Last updated
11/05/2020
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