Provider Demographics
NPI:1861732471
Name:CRAIG, KARI (DPT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CRAIG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:RAYMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2053 MECHANICSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROCK CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44084-9508
Mailing Address - Country:US
Mailing Address - Phone:330-636-6333
Mailing Address - Fax:
Practice Address - Street 1:2053 MECHANICSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROCK CREEK
Practice Address - State:OH
Practice Address - Zip Code:44084-9508
Practice Address - Country:US
Practice Address - Phone:330-636-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH014133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086446Medicaid
OHH184940Medicare UPIN