MEDICARE: ALEXANDRA CREEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH12447	AL

General Provider Information

NPI Number	:	1285427245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA CREEL

Provider Business Mailing Address
First Line	:	1140 EAGLETREE LN SW STE 100
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-7429
Country	:	US
Telephone Number	:	256-261-3529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2246 WINCHESTER RD NE STE 101
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35811-6801
Country	:	US
Telephone Number	:	256-261-3044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	08/12/2025

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Directions to “ ALEXANDRA CREEL ” Practice Location

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