NPI 1275154338

Crystal Edwards

Practitioner Massage Therapist Jackson, MS

Practice location

Address: 2718 Medgar Evers Blvd, Jackson, MS 39213-7257
Phone: (601) 842-9662
Mailing address: 2018 Red Oak Dr, Brandon, MS 39042-9327

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2646 (MS)

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Registry record

NPI: 1275154338
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2020
Record last updated: 30 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.