Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY J CROCKETT, OTRL
ActiveMS. MARY J CROCKETT, OTRL is a Occupational Therapist healthcare provider located in SUPERIOR, Wisconsin. NPI 1417160169 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SUPERIOR, WI
Registration Details
- NPI Number
- 1417160169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.232397522035 yrs)
- Last Updated
- Feb 22, 2026
- Licenses
-
4163026 (WI)101276 (MN)
Practice Information
- Address
-
1800 NEW YORK AVESUPERIOR, WI, 54880Browse WI providers · Browse ZIP 54880
- Phone
- 7153945591
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE ANN OLIVER | OTR/L | 1730296872 |
| PAULA BJORALT | OTR | 1205936283 |
| TIFFANY WERNER | OTR | 1962584250 |
| BRENDA CHRISTINE BAKER | — | 1114093267 |
| JESSICA LYNN KALKBRENNER | — | 1457428054 |
| LONNI MARIE BRICKSON | — | 1154486041 |
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.