| Doctor Name: | JASON CROMWELL |
| NPI Number: | 1033168869 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T.-A.T.C. |
| License Number: | 5917 |
| Business Practice Address: | 1108 1st St Se Little Falls, MN - 563453440 |
| Business Phone Number: | 3206323671 |
| Business Fax Number: | 3206323728 |
| Mailing Address: | 1108 1st St Se, LITTLE FALLS |
| State: | MN |
| Postal Code: | 563453440 |
| Phone Number: | 3206323671 |
| Fax Number: | 3206323728 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |