Provider Demographics
NPI:1982841797
Name:CROSBY, CARI BETH (PT)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:BETH
Last Name:CROSBY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:BETH
Other - Last Name:KUEHMICHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2500 W SILVER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-4218
Mailing Address - Country:US
Mailing Address - Phone:414-800-7171
Mailing Address - Fax:414-800-7166
Practice Address - Street 1:2500 W SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209
Practice Address - Country:US
Practice Address - Phone:414-007-1718
Practice Address - Fax:414-800-7166
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI24-3389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist