Provider Demographics
NPI:1326250192
Name:CREWS, KENYA S (OT)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:S
Last Name:CREWS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 TOWN BLVD NE APT 424
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3075
Mailing Address - Country:US
Mailing Address - Phone:334-590-1966
Mailing Address - Fax:
Practice Address - Street 1:705 TOWN BLVD NE APT 424
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-3075
Practice Address - Country:US
Practice Address - Phone:334-590-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist