Healthcare Provider Details

I. General information

NPI: 1184546111
Provider Name (Legal Business Name): CRAFTED PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S AIRPORT RD STE 106
LONGMONT CO
80503-4195
US

IV. Provider business mailing address

1425 S AIRPORT RD STE 106
LONGMONT CO
80503-4195
US

V. Phone/Fax

Practice location:
  • Phone: 720-204-4567
  • Fax:
Mailing address:
  • Phone: 720-204-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILY W RAWLINGS
Title or Position: PARTNER
Credential: PT
Phone: 720-204-4567