Provider Demographics
NPI:1801014279
Name:CRAWFORD, JENNIFER G (MPT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:G
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:ARTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5596 KRISTIN DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-8370
Mailing Address - Country:US
Mailing Address - Phone:517-375-0390
Mailing Address - Fax:
Practice Address - Street 1:5596 KRISTIN DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48855-8370
Practice Address - Country:US
Practice Address - Phone:517-375-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist