National Provider Identifier

Crystal Garrett, L.M.T.

Crystal Garrett, L.M.T. is listed in the NPPES registry with a primary specialty of Community Health Worker in Ithaca, NY and a listed phone number of (607) 327-0047.

NPI 1336578533Ithaca, NYCommunity Health Worker

Profile Overview

NPI
1336578533
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
November 07, 2013
Last Updated
November 07, 2013

Practice Location

  • 902 Taber St
  • Suite 3
  • Ithaca, NY 14850-5082

Phone: (607) 327-0047

Mailing Address

  • 92 Gray RD
  • Ithaca, NY 14850-8762

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1336578533
Entity Type
Individual
Last Name
Garrett
First Name
Crystal
Credential
L.M.T.
Mailing Street Address
92 Gray RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8762
Mailing Country
US
Practice Street Address
902 Taber St
Practice Address Line 2
Suite 3
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5082
Practice Country
US
Practice Phone
(607) 327-0047
Enumeration Date
November 07, 2013
Last Updated
November 07, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)