MEDICARE: KARI CRAIG DPT

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	014133	OH

General Provider Information

NPI Number	:	1861732471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI CRAIG DPT

Provider Business Mailing Address
First Line	:	2053 MECHANICSVILLE RD
Second Line	:
City	:	ROCK CREEK
State	:	OH
Zip	:	44084-9508
Country	:	US
Telephone Number	:	330-636-6333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2053 MECHANICSVILLE RD
Second Line	:
City	:	ROCK CREEK
State	:	OH
Zip	:	44084-9508
Country	:	US
Telephone Number	:	330-636-6333
Fax Number	:

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

Provider Enumeration Date	:	02/19/2013
Last Update Date	:	09/25/2020

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Directions to “ KARI CRAIG DPT” Practice Location

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