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General NPI Number Information
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NPI Number | 1790963247
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Entity Type | Individual
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Provider Name | CRAIG CAMPBELL DPT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD STE 600A
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 614-285-6274
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Fax |
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Provider Business Mailing Address
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Address Line | 9053 BLACKRABBIT RD
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City | LEESBURG
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State | OH
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Zip | 45135-9222
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Country | US
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Telephone | 937-393-0526
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 007161
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT007161
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License Number State | OH
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