Individual
MR. MICHAEL CROSSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
903 E STATE HIGHWAY 260, STE 1, PAYSON, AZ 85541-4972
(928) 474-0429
(928) 474-0199
Mailing address
903 E STATE HIGHWAY 260, STE 1, PAYSON, AZ 85541-4972
(928) 474-0429
(928) 474-0199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6798
HEALTH NET
AZ
01
—
64-00187
UNITED HEALTH PLAN
AZ
05
—
783135
—
AZ
01
—
AZ0295990
BCBS AZ
AZ
01
—
F02383
PHOENIX HEALTH PLAN
AZ
Enumeration date
05/31/2005
Last updated
07/09/2007
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