Provider Demographics
NPI:1922365394
Name:CRYER, JOHN HARRISON III (PT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HARRISON
Last Name:CRYER
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 GRAF DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-4254
Mailing Address - Country:US
Mailing Address - Phone:719-588-3419
Mailing Address - Fax:719-589-0680
Practice Address - Street 1:703 4TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2524
Practice Address - Country:US
Practice Address - Phone:719-589-5135
Practice Address - Fax:719-589-0680
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1654225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist