Individual
GAVIN CHANCELOR CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, OMT
Contact information
Practice address
5401 COLLEGE BLVD STE 212, LEAWOOD, KS 66211-1617
(816) 582-7933
Mailing address
4400 NE PARVIN RD, KANSAS CITY, MO 64117-2354
(816) 582-7933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2020029660
MO
225700000X
Massage Therapist
Primary
2023-013
KS
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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