Provider Demographics
NPI:1003603374
Name:CALEY, CRYSTAL MAY (LMT)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:MAY
Last Name:CALEY
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 E 3900 S
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2003
Mailing Address - Country:US
Mailing Address - Phone:801-859-1508
Mailing Address - Fax:
Practice Address - Street 1:921 E EXECUTIVE PARK DR STE C
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84117-3549
Practice Address - Country:US
Practice Address - Phone:385-831-1204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6862813-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist