Individual
CRAIG R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1605 SCHERM RD, OWENSBORO, KY 42301-5300
(270) 685-9499
(270) 685-9443
Mailing address
3026 HIDDEN LAKE PT, OWENSBORO, KY 42303-4455
(270) 685-9499
(270) 685-9443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005392
KY
225100000X
Physical Therapist
05008190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491496
BLUE CROSS BLUE SHIELD
IN
05
—
200839370
—
IN
Enumeration date
09/20/2006
Last updated
09/04/2013
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