Provider Demographics
NPI:1326606856
Name:CRAIG, CHELSEA ANN (ATC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-2026
Mailing Address - Country:US
Mailing Address - Phone:641-751-3608
Mailing Address - Fax:
Practice Address - Street 1:6800 HILLTOP RD STE 102
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3571
Practice Address - Country:US
Practice Address - Phone:913-745-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service