Provider Demographics
NPI:1851857593
Name:CRAWFORD, ABIGAIL BROOKE
Entity Type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:BROOKE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 S POLK ST
Mailing Address - Street 2:
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951-2244
Mailing Address - Country:US
Mailing Address - Phone:620-629-0806
Mailing Address - Fax:
Practice Address - Street 1:610 S POLK ST
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951-2244
Practice Address - Country:US
Practice Address - Phone:620-629-0806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer