Provider Demographics
NPI:1457149171
Name:CREVIER THERAPY LLC
Entity type:Organization
Organization Name:CREVIER THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CREVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:413-636-6035
Mailing Address - Street 1:376 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-9082
Mailing Address - Country:US
Mailing Address - Phone:413-636-6035
Mailing Address - Fax:
Practice Address - Street 1:376 CAMELOT DR
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-9082
Practice Address - Country:US
Practice Address - Phone:413-636-6035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty