Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD LUCKETT CROSSLEY, PT, DPT, MS, OCS, AT
ActiveDR. CHAD LUCKETT CROSSLEY, PT, DPT, MS, OCS, AT is a Physical Therapy Assistant healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1457517112 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1457517112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2008 (18.038754109274 yrs)
- Last Updated
- May 18, 2018
- Licenses
-
PT019425 (PA)9743PT (AZ)
Practice Information
- Address
-
90 HOPE DRMOUNTAIN HOME AFB, ID, 83648Browse ID providers · Browse ZIP 83648
- Phone
- 4124323700
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in MOUNTAIN HOME AFB, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. ASPEN CLAIRE GUTHRIE | DSC, MPT | 1295999845 |
| TEAGAN FERGUSON | DPT | 1689101123 |
| JOSEPH RICHARD PERRY | — | 1962926329 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.