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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL G CROCKETT, MPT

Active

MICHAEL G CROCKETT, MPT is a Physical Therapy Assistant healthcare provider located in MOORHEAD, Minnesota. NPI 1699718403 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MOORHEAD, MN

Registration Details

NPI Number
1699718403
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2006 (20.127903392293 yrs)
Last Updated
Mar 17, 2018
Licenses
1289 (ND)
6271 (MN)

Practice Information

Address
2921 S FRONTAGE RD STE 2
MOORHEAD, MN, 565602571
Browse MN providers · Browse ZIP 56560
Phone
2182337029
Fax
2182337029
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MOORHEAD, MN

Name Credential NPI
RUTH ANN HALLS PT 1992742985
HEIDI S BITZ MPT 1386680080
DARRIN P KOWALSKI MPT 1912116823
DR. BRIAN JOSEPH LYNCH DPT 1629209796
MRS. SHARON RAE ARNOLD PT 1639535651
DEBRA REMARK PT 1821454786
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.