Individual
MR. CHAD RAND CRAFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8277303-2401
UT
225100000X
Physical Therapist
PT60629216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700143831
—
WA
01
—
P01610839
RR PTANS WVH
WA
Enumeration date
04/13/2012
Last updated
07/08/2019
Update your record
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