Provider Demographics
NPI:1992923429
Name:CROWLEY'S RIDGE THERAPIES, INC
Entity type:Organization
Organization Name:CROWLEY'S RIDGE THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KILLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:870-208-9572
Mailing Address - Street 1:661 HIGHWAY 64B
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-8506
Mailing Address - Country:US
Mailing Address - Phone:870-208-9572
Mailing Address - Fax:870-208-8481
Practice Address - Street 1:661 HIGHWAY 64B
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-8506
Practice Address - Country:US
Practice Address - Phone:870-208-9572
Practice Address - Fax:870-208-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty