Individual
MS. CRYSTAL KAY BASHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1000 S LINCOLN AVE, LEBANON, PA 17042-7165
(717) 270-9798
(717) 270-9798
Mailing address
1540 RITA LN, LEBANON, PA 17042-5864
(717) 644-1169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002865
PA
225700000X
Massage Therapist
—
PA
Other
Enumeration date
09/06/2016
Last updated
01/04/2021
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