Individual
DR. CHAD LUCKETT CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS, OCS, AT
Contact information
Practice address
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648
(412) 432-3700
Mailing address
901 NE TANAGER ST, MOUNTAIN HOME, ID 83647-4801
(412) 478-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9743PT
AZ
225100000X
Physical Therapist
PT019425
PA
Other
Enumeration date
08/01/2008
Last updated
05/18/2018
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