Crystal Lynn Backus, PT

Individual provider Active NPI Physical Therapist · Plainview, TX

NPI 1093034522 · NPPES record last updated May 24, 2010

Key facts

NPI
1093034522
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1078178 (TX)
Practice address
2700 Yonkers St
Plainview, TX 79072-1826
Phone
(806) 293-2636
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1078178TXMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1078178 TX Yes

Addresses

Primary practice location

2700 Yonkers St
Plainview, TX 79072-1826

Mailing address

2700 Yonkers St
Plainview, TX 79072-1826
Phone (806) 293-2636

Other providers in Plainview, TX

All providers in Plainview, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.