Most Relevant Information
Provider Data
| NPI Number: | 1003064262 |
| Provider Name: | CRAIG M CROOKSTON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 50019382401 |
Most Important Dates
| Enumeration Date: | 08/29/2008 |
| Last Updated: | 08/29/2008 |
Provider Practice Location
100 MARIO CAPECCHI DR
STE 4400
SALT LAKE CITY
UT
841128924
Practice Location Phone/Fax
| Phone: | 8016624951 |
| Fax: | 8016624931 |
Provider Mailing Location
100 MARIO CAPECCHI DR
STE 4400
SALT LAKE CITY
UT
841128924
Provider Mailing Phone/Fax
| Phone: | 8016624951 |
| Fax: | 8016624931 |