| Crystal L Davis, LMP | |
|
139 1st Ave. Sw, Castle Rock, WA 98611 | |
| (360) 274-2353 | |
| (360) 274-2354 |
| Full Name | Crystal L Davis |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 139 1st Ave. Sw, Castle Rock, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417002064 | NPI | - | NPPES |
| 1055113 | Other | WA | AMERICAN SPECIALTY HEALTH |
| 3804HO | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00019024 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal L Davis, LMP 224 Paine Rd, Castle Rock, WA 98611-8708 Ph: (360) 274-2353 | Crystal L Davis, LMP 139 1st Ave. Sw, Castle Rock, WA 98611 Ph: (360) 274-2353 |
Jennifer Nicole Farrelly, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Pogue Ln, Castle Rock, WA 98611 Phone: 360-441-0917 | |
Leah Cooke, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Powell Rd, Castle Rock, WA 98611 Phone: 360-846-7475 |