Provider Demographics
NPI:1073929741
Name:CRAFT, JAY THOMAS (HEARING AID SPEC)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:THOMAS
Last Name:CRAFT
Suffix:
Gender:M
Credentials:HEARING AID SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 SUGARLAND DR STE 180
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5720
Mailing Address - Country:US
Mailing Address - Phone:307-257-2152
Mailing Address - Fax:307-674-1916
Practice Address - Street 1:1949 SUGARLAND DR
Practice Address - Street 2:SUITE 252
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5755
Practice Address - Country:US
Practice Address - Phone:307-674-8920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY185237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY185OtherWY BOARD OF HEARING AID SPECIALISTS