Provider Demographics
NPI:1811105562
Name:CRAIN, JOHN WRIGHT
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WRIGHT
Last Name:CRAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 STANWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-2341
Mailing Address - Country:US
Mailing Address - Phone:501-812-7015
Mailing Address - Fax:
Practice Address - Street 1:3 STANWOOD LOOP
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-2341
Practice Address - Country:US
Practice Address - Phone:501-812-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist