IndividualActive
Krystal Wall, LMT
NPI 1962278788 · Massage Therapist · Dickinson, ND
Provider details
- NPI number
- 1962278788
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1536 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
30 7th St W
Dickinson, ND 58601-4335
Phone: (208) 739-6456
Approximate (ZIP-level) locationGet directions
Mailing address
427 Tweeten Pl
Dickinson, ND 58601-6235
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.