Provider Demographics
NPI:1386798619
Name:BRECHLER, CRAIG F (MS, PT)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:F
Last Name:BRECHLER
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19888 N 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8904
Mailing Address - Country:US
Mailing Address - Phone:602-393-8413
Mailing Address - Fax:952-658-1923
Practice Address - Street 1:19888 N 73RD AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8904
Practice Address - Country:US
Practice Address - Phone:602-393-8413
Practice Address - Fax:952-658-1923
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ113518Medicare PIN