Healthcare Provider Details

I. General information

NPI: 1588587778
Provider Name (Legal Business Name): KARISA CROZIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7106 W HOOD PL
KENNEWICK WA
99336-6712
US

IV. Provider business mailing address

7106 W HOOD PL
KENNEWICK WA
99336-6712
US

V. Phone/Fax

Practice location:
  • Phone: 509-222-1132
  • Fax: 509-222-1133
Mailing address:
  • Phone: 509-222-1132
  • Fax: 509-222-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70107880
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: