Provider Demographics
NPI:1295697993
Name:CRANE PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:CRANE PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:912-342-0014
Mailing Address - Street 1:103 BRUNSWICK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-2625
Mailing Address - Country:US
Mailing Address - Phone:912-342-0014
Mailing Address - Fax:
Practice Address - Street 1:103 BRUNSWICK AVE STE 200
Practice Address - Street 2:
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-2625
Practice Address - Country:US
Practice Address - Phone:912-342-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy