| Mr David Leroy Crettol, LMT | |
|
2005 N Ironwood Pkwy Ste 216, Coeur D Alene, ID 83814-2647 | |
| (208) 659-6459 | |
| Not Available |
| Full Name | Mr David Leroy Crettol |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2005 N Ironwood Pkwy Ste 216, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841609856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7258 (New Mexico) | Secondary |
| 225700000X | Massage Therapist | MAS-3256 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Leroy Crettol, LMT 212 W Ironwood Dr Ste D, Coeur D Alene, ID 83814-1403 Ph: (208) 659-6459 | Mr David Leroy Crettol, LMT 2005 N Ironwood Pkwy Ste 216, Coeur D Alene, ID 83814-2647 Ph: (208) 659-6459 |
Ms. Chelsea Stillman, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3157 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-818-0642 | |
Tammy Marie Mac, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-664-5225 | |
Rachel Lynn Larsen, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3516 N Government Way, Coeur D Alene, ID 83815 Phone: 208-966-4397 Fax: 208-966-4565 | |
Amanda Goulart, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1042 W Mill Ave Ste 104, Coeur D Alene, ID 83814 Phone: 208-659-6526 | |
Rebecca Moore, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 W Ironwood Dr, 302, Coeur D Alene, ID 83814 Phone: 208-664-5225 | |
Veronica Guadalupe Reyes, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-664-5225 Fax: 208-664-5228 | |
Corynn Pittman, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-966-4376 |