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

Mrs. Crystal Moon

Individual provider Prosthetist · NPI 1629535810

Mrs. Crystal Moon is a Prosthetist in Las Vegas, Nevada. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

354 S Decatur Blvd
Las Vegas, NV 89107-2804
Phone: (702) 822-1177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 354 S Decatur Blvd, Las Vegas, NV 89107-2804 — (702) 822-1177

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1629535810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address354 S Decatur Blvd, Las Vegas, NV 89107-2804

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