Individual
JENNIFER LEITCH MCCRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 E MAIN ST STE A, SUITE A, RADFORD, VA 24141-1826
(540) 633-0413
(540) 633-0416
Mailing address
825 DAVIS ST, SUITE B, BLACKSBURG, VA 24060-7013
(540) 552-5100
(540) 552-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204219
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192943
ANTHEM
VA
01
—
2618376 GROUP
MAMSI
VA
01
—
263354
SOUTHERN HEALTH
VA
Enumeration date
10/02/2006
Last updated
02/27/2012
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