Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508344383 Individual Practitioner Female Practitioner

Crystal Ann Lake , LMT

Massage Therapist • Sumner, WA

Professional Overview & Biography Verified Profile Summary

Crystal Lake, LMT is a registered healthcare professional specializing in Massage Therapist in Sumner, WA. Practice services are available at 5814 GRAHAM AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5814 Graham Ave Ste 101

Sumner, WA 983902728

Telephone 2538917093
Fax 9519737216

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Sumner, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
26 Specialists

Practicing in Sumner, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60879902

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Massage Therapy License
MA60879902 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Christopher Neal , DPT

Physical Therapist

NPI 1033453121

Doctor of Physical Therapy

Dr. Michael Millanes , DPT

Physical Therapist

NPI 1043282726

Doctor of Physical Therapy

Ivanova Parguian , PT

Physical Therapist

NPI 1164752598

Physical Therapist

Dr. Michael Gunther , DPT

Physical Therapist

NPI 1184016644

Doctor of Physical Therapy

Dr. Desiree Pabin , DPT

Physical Therapist

NPI 1194109348

Doctor of Physical Therapy

Dr. Nolan Omalley , DPT

Physical Therapist

NPI 1255987327

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2018

Registered at 5814 GRAHAM AVE STE 101, SUMNER, WA 983902728 (Tel: 2538917093)

📍
Updated Business Mailing Address August 02, 2018

Registered at 5814 GRAHAM AVE STE 101, SUMNER, WA 983902728 (Tel: 2538917093)

👤
Provider Name / Credentials Updated August 02, 2018

Recorded as CRYSTAL LAKE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2018

Massage Therapist (License #MA60879902 in WA)

🟢
Initial NPI Registration & Enumeration August 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508344383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2018
Last Update: August 02, 2018
Sole Proprietor: No

Mailing Address

5814 Graham Ave Ste 101

Sumner, WA 983902728

Phone: 2538917093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.