CRYSTAL BETH LANE PT, DPT - NPI 1730364753 - Physical Therapist in Killeen, TX

Q: What is Crystal Lane's NPI number?

The NPI number for Crystal Lane is 1730364753. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Q: What is Crystal Lane's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Lane was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Crystal Beth Lane Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL BETH LANE PT, DPT (NPI 1730364753) is an individual pediatrics provider in Killeen, Texas, licensed in Texas (1180006) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1730364753

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameCRYSTAL BETH LANECredential: PT, DPT

Location Address1102 WINKLER AVEKilleen, TX 76542-6249

Mailing Address401 Teravista Pkwy Apt 821Round Rock, TX 78665-1296 · (325) 864-3633

Phone(254) 634-8505

Fax(254) 519-3477

Sole ProprietorYes

Enumeration DateJanuary 9, 2008

Last NPPES UpdateFebruary 27, 2008

✔ NPI 1730364753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in TX · 1180006

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1102 WINKLER AVE, Killeen, TX 76542

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