Individual
MR. DAVID HOWARD CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
120 N MAIN STREET, EUREKA, IL 61530-1182
(309) 467-3220
(309) 467-3240
Mailing address
211 LANDMARK DR, STE E3, NORMAL, IL 61761-6165
(309) 467-3220
(309) 467-3240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.004852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10232007
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/03/2006
Last updated
09/11/2020
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