Individual
PERRY RAYMOND CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
451 W 600 N, TREMONTON, UT 84337-2411
(435) 257-3809
(435) 257-6347
Mailing address
2380 N 400 E, LOGAN, UT 84341-1749
(435) 713-9710
(435) 753-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61454052401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364288180020
—
UT
Enumeration date
02/02/2007
Last updated
07/08/2007
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