Provider Demographics
NPI:1932282423
Name:CRAWLEY, AMY J (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:J
Last Name:CRAWLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11835 SKYLARK RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9375
Mailing Address - Country:US
Mailing Address - Phone:301-655-4313
Mailing Address - Fax:
Practice Address - Street 1:518 N HENRY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2233
Practice Address - Country:US
Practice Address - Phone:301-655-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor