Provider Demographics
NPI:1982983847
Name:DARNLEY, CHRYSTAL L (LMT)
Entity Type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:L
Last Name:DARNLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 BEACH RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1756
Mailing Address - Country:US
Mailing Address - Phone:716-335-6162
Mailing Address - Fax:716-632-2492
Practice Address - Street 1:704 BEACH RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1756
Practice Address - Country:US
Practice Address - Phone:716-335-6162
Practice Address - Fax:716-632-2492
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024667225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist