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NPI Code Detail

MEDICARE: MS. KAREN M CRAWFORD PT

MEDICARE:  MS. KAREN M CRAWFORD  PT
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
1225100000XPhysical Therapist0675NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720096662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN M CRAWFORD PT
Provider Business Mailing Address
First Line : 600 S TONOPAH DR
Second Line : SUITE 350
City : LAS VEGAS
State : NV
Zip : 89106-4025
Country : US
Telephone Number : 702-384-6330
Fax Number : 702-384-2668
Provider Business Practice Location Address
First Line : 600 S TONOPAH DR
Second Line : SUITE 350
City : LAS VEGAS
State : NV
Zip : 89106-4025
Country : US
Telephone Number : 702-384-6330
Fax Number : 702-384-2668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 10/24/2016

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