Doctor Name: | MARLA CRAGO |
NPI Number: | 1346247269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1300 PT |
Business Practice Address: | 2360 Mullan Rd Ste D Missoula, MT - 598081811 |
Business Phone Number: | 4065424702 |
Business Fax Number: | 4065418240 |
Mailing Address: | 2063 Belleauwood Rd, MISSOULA |
State: | MT |
Postal Code: | 598088574 |
Phone Number: | 4065316398 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1300 PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |