Provider Demographics
NPI:1275889677
Name:GRIFFIN, CRISY BRIANNE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CRISY
Middle Name:BRIANNE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:CRISY
Other - Middle Name:BRIANNE
Other - Last Name:SCROGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 EXETER RD STE 210
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3966
Practice Address - Country:US
Practice Address - Phone:901-701-5604
Practice Address - Fax:901-701-5819
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist