Provider Demographics
NPI:1033726260
Name:CRAWFORD, CRISTINA (LMT)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:TRURO
Mailing Address - State:MA
Mailing Address - Zip Code:02666-1035
Mailing Address - Country:US
Mailing Address - Phone:774-538-9374
Mailing Address - Fax:
Practice Address - Street 1:18 GREAT HOLLOW
Practice Address - Street 2:
Practice Address - City:TRURO
Practice Address - State:MA
Practice Address - Zip Code:02666-1035
Practice Address - Country:US
Practice Address - Phone:978-992-7498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15655225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist