Provider Demographics
NPI:1013259217
Name:CROSIER, BONNIE (RMT, IARP)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:
Last Name:CROSIER
Suffix:
Gender:F
Credentials:RMT, IARP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 LANDMARK DR
Mailing Address - Street 2:SUITE E-1
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-2160
Mailing Address - Country:US
Mailing Address - Phone:309-268-9304
Mailing Address - Fax:309-268-9626
Practice Address - Street 1:211 LANDMARK DR
Practice Address - Street 2:SUITE E-1
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-2160
Practice Address - Country:US
Practice Address - Phone:309-268-9304
Practice Address - Fax:309-268-9626
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker