Individual
CRYSTAL SHANTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 N PECOS RD, HENDERSON, NV 89074-7324
(702) 565-1243
(702) 565-1245
Mailing address
105 N PECOS RD, HENDERSON, NV 89074-7324
(702) 565-1243
(702) 565-1245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.8619
NV
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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