Provider Demographics
NPI:1700431020
Name:CROW, ASHTON LAUREN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:LAUREN
Last Name:CROW
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:LAUREN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:351 N AIR DEPOT BLVD STE X
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-1760
Mailing Address - Country:US
Mailing Address - Phone:405-732-1766
Mailing Address - Fax:405-732-4337
Practice Address - Street 1:351 N AIR DEPOT BLVD STE X
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-1760
Practice Address - Country:US
Practice Address - Phone:405-732-1766
Practice Address - Fax:405-732-4337
Is Sole Proprietor?:No
Enumeration Date:2019-08-04
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist