William Crane, D.P.T.

Individual provider Active NPI Physical Therapist · Montpelier, ID

NPI 1821482365 · NPPES record last updated Mar 23, 2015

Key facts

NPI
1821482365
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-2845 (ID)
Practice address
164 S 5TH St
Montpelier, ID 83254-1557
Phone
(208) 847-4417
NPI assigned
Mar 23, 2015
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

LicenseStateTypeSpecialty
PT-2845IDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2845 ID Yes

Addresses

Primary practice location

164 S 5TH St
Montpelier, ID 83254-1557

Mailing address

164 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-4417

Other providers in Montpelier, ID

All providers in Montpelier, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.