Individual
MRS. KIVA L CRUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
475 SWANHOLME DR APT L206, MURFREESBORO, TN 37128-1517
(423) 704-1171
Mailing address
475 SWANHOLME DR APT L206, MURFREESBORO, TN 37128-1517
(423) 704-1171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8241
TN
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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