Individual
CRYSTAL EVELYN HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2203 OAK ST, SEWARD, AK 99664-0137
(907) 224-2800
(907) 224-3798
Mailing address
PO BOX 5611, KETCHIKAN, AK 99901-0611
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
185408
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1729901
—
AK
Enumeration date
02/14/2022
Last updated
04/30/2025
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