Individual
MRS. CRYSTAL R STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
616 HOMESTEAD AVE, OSSIAN, IN 46777-9314
(317) 748-7637
Mailing address
616 HOMESTEAD AVE, OSSIAN, IN 46777-9314
(317) 748-7637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104057
IN
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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