Individual
CRYSTAL LASDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5754 STATE ROUTE 281, HOMER, NY 13077-9732
(315) 420-0190
Mailing address
5754 STATE ROUTE 281, HOMER, NY 13077-9732
(315) 420-0190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027798
NY
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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