Doctor Name: | JED L CROWTON |
NPI Number: | 1285736041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 55334532401 |
Business Practice Address: | 29 South Main St Tooele, UT - 84074 |
Business Phone Number: | 4358437466 |
Business Fax Number: | 4358439568 |
Mailing Address: | Po Box 711185, SALT LAKE CITY |
State: | UT |
Postal Code: | 84171 |
Phone Number: | 8019423311 |
Fax Number: | 8019425955 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 55334532401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |