Individual
CRYSTAL WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
91 E 4TH ST, DUNKIRK, NY 14048-2224
(716) 363-0900
Mailing address
2079 STRAIGHT RD, FORESTVILLE, NY 14062-9658
(716) 397-4488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025764-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025764-1
LICENSED MASSAGE THERAPIST
NY
Enumeration date
03/26/2020
Last updated
03/26/2020
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