Provider Demographics
NPI:1609767508
Name:CRABTREE, VALARIE (PTA 4209)
Entity type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PTA 4209
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-2125
Mailing Address - Country:US
Mailing Address - Phone:901-485-0991
Mailing Address - Fax:662-323-4413
Practice Address - Street 1:1001 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-2125
Practice Address - Country:US
Practice Address - Phone:901-485-0991
Practice Address - Fax:662-323-4413
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4209225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant