Provider Demographics
NPI:1386459378
Name:CRUSAN, ERIN E (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:CRUSAN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11389 NW SYMES RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-9505
Mailing Address - Country:US
Mailing Address - Phone:360-286-4979
Mailing Address - Fax:
Practice Address - Street 1:11389 NW SYMES RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-9505
Practice Address - Country:US
Practice Address - Phone:360-286-4979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61499788225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist