Individual
MRS. CRYSTAL LYNN COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16334 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
(763) 416-1799
Mailing address
16334 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
(763) 416-1799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014-117
MN
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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