Provider Demographics
NPI:1326375205
Name:CROWELL, APRIL (DIPL ABT, CMT, CHN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:CROWELL
Suffix:
Gender:F
Credentials:DIPL ABT, CMT, CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-4020
Mailing Address - Country:US
Mailing Address - Phone:208-388-0206
Mailing Address - Fax:
Practice Address - Street 1:725 N 15TH ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4020
Practice Address - Country:US
Practice Address - Phone:208-388-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No133N00000XDietary & Nutritional Service ProvidersNutritionist