Provider Demographics
NPI:1376954255
Name:KRAVIC, JOHN III (PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:KRAVIC
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RYE ST STE 125
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6839
Mailing Address - Country:US
Mailing Address - Phone:603-610-2200
Mailing Address - Fax:603-610-2202
Practice Address - Street 1:15 RYE ST STE 125
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6839
Practice Address - Country:US
Practice Address - Phone:603-610-2200
Practice Address - Fax:603-610-2202
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH3886OtherSTATE LICENSE