Doctor Name: | MS. KRYSTAL MARIE BROWN |
NPI Number: | 1588073944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA 62983 |
Business Practice Address: | 700 Barefoot Ln Apt 724 Panama City Beach, FL - 324134640 |
Business Phone Number: | 8504815077 |
Business Fax Number: | |
Mailing Address: | 508 Airport Rd, PANAMA CITY |
State: | FL |
Postal Code: | 324054030 |
Phone Number: | 8508673795 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2014 |
NPI Last Update Date: | 08/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 62983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |