Provider Demographics
NPI:1609039775
Name:SANTIN, CRYSTAL (DPT)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:SANTIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 E BECK ST REAR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-1207
Mailing Address - Country:US
Mailing Address - Phone:614-832-9783
Mailing Address - Fax:
Practice Address - Street 1:193 E BECK ST REAR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-1207
Practice Address - Country:US
Practice Address - Phone:614-832-9783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH118962251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic