Provider Demographics
NPI:1528265048
Name:CRAWFORD, AMANDA (RMT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6979 S HOLLY CIR
Mailing Address - Street 2:STE 105
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1577
Mailing Address - Country:US
Mailing Address - Phone:303-694-2295
Mailing Address - Fax:303-694-1843
Practice Address - Street 1:1551 PROFESSIONAL LN
Practice Address - Street 2:STE 145
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6972
Practice Address - Country:US
Practice Address - Phone:720-494-3290
Practice Address - Fax:720-494-3294
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2011-08-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
102072963OtherOWCP PROVIDER NUMBER
102072963OtherOWCP PROVIDER NUMBER