Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Clark, LMT

Individual provider Massage Therapist · NPI 1619581311

Crystal Clark, LMT is a Massage Therapist in North Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12506 NE 4th Ave Apt 101
North Miami, FL 33161-4668
Phone: (305) 714-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA83036 (FL)

Record details

NPI number1619581311
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668

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