Individual provider · Type 1 NPI

Crystal Leigh Maddox, MPT

Geriatric Physical Therapist · Petersburg, VA

NPI number 1295374643 Active

Practice location

200 Medical Park Blvd
Petersburg, VA 23805-9274

Call (804) 765-5000 Map

Mailing address

11104 Courthouse Rd
Waverly, VA 23890-4422

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304XPT028240 (PA)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1295374643

Crystal Leigh Maddox, MPT's National Provider Identifier is 1295374643, issued on Jan 2, 2020. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Petersburg, VA. The record was last updated on Jan 2, 2020.