Provider Demographics
NPI:1700629177
Name:CRAWFORD, ANDI (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANDI
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ANDI
Other - Middle Name:
Other - Last Name:CROSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1280 ARRINGTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8696
Mailing Address - Country:US
Mailing Address - Phone:979-207-6550
Mailing Address - Fax:
Practice Address - Street 1:1280 ARRINGTON RD STE 200
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8696
Practice Address - Country:US
Practice Address - Phone:979-207-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1378659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist