Individual
MARLA CRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1300 PT
MT
225100000X
Physical Therapist
Primary
14159685-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400566
—
MT
Enumeration date
07/07/2005
Last updated
01/24/2025
Update your record
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