Individual
MELISSA WALWORTH CRUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1239 TYLER PL, ERIE, CO 80516-6931
(303) 641-8721
(720) 707-1630
Mailing address
1239 TYLER PL, ERIE, CO 80516-6931
(303) 641-8721
(720) 707-1630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL 0002611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782723
—
CO
Enumeration date
03/24/2007
Last updated
05/25/2021
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