Provider Demographics
NPI:1710593439
Name:CRUMRINE, RACHAEL ELIZABETH BROWN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ELIZABETH BROWN
Last Name:CRUMRINE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ELIZABETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 CONTINENTAL DR APT 2304
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8981
Mailing Address - Country:US
Mailing Address - Phone:254-715-3352
Mailing Address - Fax:
Practice Address - Street 1:1919 BRINKER RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-6215
Practice Address - Country:US
Practice Address - Phone:940-222-8027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1300927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist