Provider Demographics
NPI:1932155199
Name:CRITCHFIELD, CRAIG A (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:A
Last Name:CRITCHFIELD
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2667 DOTSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-6925
Mailing Address - Country:US
Mailing Address - Phone:931-551-5546
Mailing Address - Fax:
Practice Address - Street 1:1430 CORPORATE PARKWAY BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6196
Practice Address - Country:US
Practice Address - Phone:931-245-0679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0031872255A2300X
FLAL-15892255A2300X
TN11922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer