Provider Demographics
NPI:1457998098
Name:MARKOWSKI, CRAIG (DPT, MPT)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:MARKOWSKI
Suffix:
Gender:M
Credentials:DPT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 SHELBURNE DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9751
Mailing Address - Country:US
Mailing Address - Phone:919-214-1102
Mailing Address - Fax:
Practice Address - Street 1:3501 SENIOR VILLAGE LN NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-9618
Practice Address - Country:US
Practice Address - Phone:252-243-3186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist