Doctor Name: | MS. CRYSTAL MARIE LUXMORE |
NPI Number: | 1063617306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. IN P.T. |
License Number: | 7162 |
Business Practice Address: | 2400 W 64th St Minneapolis, MN - 554231001 |
Business Phone Number: | 6127988339 |
Business Fax Number: | |
Mailing Address: | 70 Todd St, NEW MARKET |
State: | MN |
Postal Code: | 550545452 |
Phone Number: | 6127988339 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7162 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |