Individual
KRYSTAL PRESL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT MMP
Contact information
Practice address
121 E MAIN ST, NORTH MANCHESTER, IN 46962-1822
(260) 306-3057
Mailing address
204 E 3RD ST, NORTH MANCHESTER, IN 46962-1807
(260) 440-4155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21806462
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801387352
MEDICAL MASSAGE CERTIFICATION
IN
Enumeration date
05/21/2018
Last updated
07/20/2022
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