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Individual
MR. CHAD RAND CRAFTS
Active
Individual
MR. CHAD RAND CRAFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8277303-2401
UT
225100000X
Physical Therapist
PT60629216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700143831
—
WA
01
—
P01610839
RR PTANS WVH
WA
Enumeration date
04/13/2012
Last updated
07/08/2019
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