Individual
CRYSTAL R LAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4800 JACKSON AVE SE STE 104, PORT ORCHARD, WA 98366-1109
(360) 876-4120
(360) 895-0496
Mailing address
4800 JACKSON AVE SE STE 104, PORT ORCHARD, WA 98366-1109
(360) 876-4120
(360) 895-0496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219468
STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
2007110961153637310
HEALTHWAYS WHOLEHEALTH NETWORKS
WA
Enumeration date
07/31/2013
Last updated
07/31/2013
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