Speller, Crystal Madonna

Speller, Crystal Madonna is an sole proprietor health care provider with primary practice located at 1400 Hand Ave Ste T , Ormond Beach FL 32174-8196. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Speller, Crystal Madonna can be contacted via phone (386) 451-8196.

Contact Information

Primary practice address
1400 Hand Ave Ste T Ormond Beach FL 32174-8196
Phone: (386) 451-8196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA79922 Florida

Profile Details

NPI number 1902420581
LBN Legal business name Speller, Crystal Madonna
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2020
Last updated May 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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