Provider Demographics
NPI:1205292372
Name:CRUMSEY, STEVEN D (LMT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:D
Last Name:CRUMSEY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-1001 KOOLANI DR
Mailing Address - Street 2:APT F 601
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-6021
Mailing Address - Country:US
Mailing Address - Phone:808-754-9738
Mailing Address - Fax:
Practice Address - Street 1:95-1001 KOOLANI DR
Practice Address - Street 2:APT F 601
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-6021
Practice Address - Country:US
Practice Address - Phone:808-754-9738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-14004225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist