Individual
JEFFREY DALE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
920 PARK AVE E, MANSFIELD, OH 44905-2803
(419) 522-5723
Mailing address
920 PARK AVE E, MANSFIELD, OH 44905-2803
(419) 522-5723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10941
OH
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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