Perry Raymond Crawford, PT
Individual provider Active NPI Physical Therapist · Tremonton, UT
NPI 1740328798 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740328798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 61454052401 (UT)
- Practice address
- 451 W 600 N
Tremonton, UT 84337-2411 - Phone
- (435) 257-3809
- Fax
- (435) 257-6347
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61454052401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61454052401 | UT | Yes |
Addresses
Primary practice location
451 W 600 N
Tremonton, UT 84337-2411
Mailing address
2380 N 400 E
Logan, UT 84341-1749
Phone (435) 713-9710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364288180020 | Medicaid | UT |
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.