Provider Demographics
NPI:1467821967
Name:CRAWFORD, CAROLINE (DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 MARKET ST APT 304
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2732
Mailing Address - Country:US
Mailing Address - Phone:985-778-9252
Mailing Address - Fax:
Practice Address - Street 1:54 BATTLEFIELD CANOPY CIR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5052
Practice Address - Country:US
Practice Address - Phone:706-445-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012663225100000X
VA2305209803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist