Elizabete Rangel Cruz, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA00024192 Issued in WA

Practice address

200 S Almon St
Suite 102
Moscow, ID 83843-2098

Phone

(208) 882-8534

Fax

(208) 882-6866

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1689844540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SE SPRING ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632340",
            "telephone_number": "509-332-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ALMON ST",
            "address_2": "SUITE 102",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432098",
            "telephone_number": "208-882-8534",
            "fax_number": "208-882-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ELIZABETE",
        "middle_name": "RANGEL",
        "name_prefix": "Dr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00024192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Myron Crawford, DDS, MS
• Heather Diane Crawford
• Katie Lynn Crawshaw
• Gina Cretser, LPC, CRC
• CRT Children Services LLC
• Jessica Alexandra Cruz, MPAS, PA-C
• Randall Perry Cummings, O.D.
• Duane Dale
• Dalys Davenport, PHARMD
• Douglas Joel Davidson

• Mechanotherapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Mechanotherapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.