Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDEN RICHARD CROCKETT, D.P.T.
Active Sole ProprietorDR. BRANDEN RICHARD CROCKETT, D.P.T. is a Physical Therapy Assistant healthcare provider located in SCOTT AFB, Illinois. NPI 1922392265 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SCOTT AFB, IL
Registration Details
- NPI Number
- 1922392265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2011 (15.210385494633 yrs)
- Last Updated
- Aug 6, 2024
- License
-
0016920 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 W LOSEY STSCOTT AFB, IL, 622255250Browse IL providers · Browse ZIP 62225
- Phone
- 6182569355
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SCOTT AFB, IL
| Name | Credential | NPI |
|---|---|---|
| DAWN WILSON | PT | 1013996818 |
| KATELYN MCCORMICK HUTCHISON | PT | 1356639231 |
| DONALD P ORTMANN | DPT | 1477048171 |
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.