Doctor Name: | AMBER CROOKSTON |
NPI Number: | 1629438114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA 60519624 |
Business Practice Address: | 13003 Se Kent-kangley Rd Suite 110 Kent, WA - 98030 |
Business Phone Number: | 2536382424 |
Business Fax Number: | |
Mailing Address: | 17425 Se 214th St, RENTON |
State: | WA |
Postal Code: | 98058 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/26/2016 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 60519624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |