NPI 1154528503

John McCrae, PT

Practitioner Contractor Phoenix, AZ

Practice location

Address: 16601 N.12th St APT 2101, Phoenix, AZ 85022
Phone: (602) 509-0016

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence AZ7175 (AZ)

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Registry record

NPI: 1154528503
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.