CRYSTAL WALLING (NPI# 1710364930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710364930 |
| Entity Type | Individual |
| Full Name | CRYSTAL WALLING |
| Practice Address |
285 Liberty St Ne Salem OR 97355 |
| Mailing Address |
2325 Fuller Lane Lebanon OR 97355 |
| Practice Telephone | 5035886633 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20906 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
285 LIBERTY ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992098 | Helen Margareta Akerberg Evans | Physical Therapist | 285 Liberty St Ne, Suite 170, Salem, OR 97301-3865 | 2005-12-13 |
| 1477106821 | Chelsea Nicole Mcfadden | Behavior Technician | 285 Liberty St Ne, Salem, OR 97301-3865 | 2019-07-23 |
| 1346635364 | Cassidy Berry | Massage Therapist | 285 Liberty St Ne, Salem, OR 97301-3865 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766953 | Michael Amador | Massage Therapist | 95 Stiles Rd Ste 107, Salem, NH 03079-4805 | 2020-09-29 |
| 1528673464 | Brandy Mckeever | Massage Therapist | 156 Front St Ne, Salem, OR 97301-3479 | 2020-09-08 |
| 1114531274 | Michelle Nicole Kellogg-satrum | Massage Therapist | 1900 Hines St Se Ste 110, Salem, OR 97302-1356 | 2020-09-04 |
| 1518579481 | Stephanie Shambaugh | Massage Therapist | 456 State St Ste 110, Salem, OR 97301-3619 | 2020-08-20 |
| 1770115230 | Angela Aloisi | Massage Therapist | 1236 W Main St, Salem, VA 24153-4726 | 2020-02-12 |
| 1245874445 | Jessica Schutt | Massage Therapist | 156 Front St Ne Ste 100, Salem, OR 97301-3479 | 2019-10-30 |
| 1174185391 | Jennifer Plemons | Massage Therapist | 2685 Gilbert St S, Salem, OR 97302-5853 | 2019-07-08 |
| 1811559305 | Jordan D Hilbert | Massage Therapist | 2110 Berry St Se, Salem, OR 97302-2108 | 2019-07-03 |
| 1942865167 | Pure Massage & Spa LLC | Massage Therapist | 4155 Rickey St Se Ste 122, Salem, OR 97317-6903 | 2019-05-02 |
| 1942767553 | Crystal Vanpelt | Massage Therapist | 2111 Front St Ne Bldg 3, Salem, OR 97301-0765 | 2019-03-01 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.