Individual
KRYSTAL TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S NEW JERSEY AVE APT 1, TAMPA, FL 33609-3174
(813) 309-6503
Mailing address
209 S NEW JERSEY AVE APT 1, TAMPA, FL 33609-3174
(813) 309-6503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66554
FL
225700000X
Massage Therapist
NVMT9640
NV
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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