Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN ANDREW CROCKER, DPT
ActiveETHAN ANDREW CROCKER, DPT is a Physical Medicine & Rehabilitation healthcare provider located in AUSTIN, Minnesota. NPI 1003531336 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · AUSTIN, MN
Registration Details
- NPI Number
- 1003531336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2022 (3.8902280184043 yrs)
- Last Updated
- Oct 10, 2022
- License
-
12793 (MN)
Practice Information
- Address
-
1000 1ST DR NWAUSTIN, MN, 559122941Browse MN providers · Browse ZIP 55912
- Phone
- 5074338758
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.