Individual
TARYN CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 MAGAZINE ST, LOUISVILLE, KY 40203-2043
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
03/26/2014
Last updated
12/22/2015
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