Provider Demographics
NPI:1679509749
Name:CRAPPS, MARGARET KELLY (MSPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:KELLY
Last Name:CRAPPS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SHERIDAN PARK CIR
Mailing Address - Street 2:STE E
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-7022
Mailing Address - Country:US
Mailing Address - Phone:843-815-5628
Mailing Address - Fax:843-815-5637
Practice Address - Street 1:38 SHERIDAN PARK CR
Practice Address - Street 2:STE E
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910
Practice Address - Country:US
Practice Address - Phone:843-815-5628
Practice Address - Fax:843-815-5637
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00656482OtherRAILROAD PROVIDER NUMBER
SCQ338428783Medicare PIN
SCQ332557620Medicare PIN