Individual
MRS. RACHEL GABRIELLE CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
280 N MAIN ST FL 2, BOUNTIFUL, UT 84010-6136
(801) 397-8736
(801) 397-8709
Mailing address
347 W DAVIS BLVD, BOUNTIFUL, UT 84010-8047
(928) 399-9864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P15765
NC
2251P0200X
Pediatric Physical Therapist
Primary
9649385-2401
UT
2251P0200X
Pediatric Physical Therapist
P15765
NC
Other
Enumeration date
08/06/2015
Last updated
04/10/2019
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