Provider Demographics
NPI:1750604971
Name:CRAWFORD, WHITNEY D (BS)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:D
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 E 59TH CT UNIT 4
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7535
Mailing Address - Country:US
Mailing Address - Phone:918-637-8033
Mailing Address - Fax:
Practice Address - Street 1:2417 E 59TH CT UNIT 4
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-7535
Practice Address - Country:US
Practice Address - Phone:918-637-8033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider