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

RANDALL CALEB CROCKETT, OT

Active Sole Proprietor

RANDALL CALEB CROCKETT, OT is a Occupational Therapist healthcare provider located in SNOWFLAKE, Arizona. NPI 1992574990 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SNOWFLAKE, AZ

Registration Details

NPI Number
1992574990
Provider Type
Individual
Gender
Male
NPI Issued
Jan 1, 2024 (2.5741141732326 yrs)
Last Updated
Jan 1, 2024
License
OTH-008328 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2260 W WEDDING TRL
SNOWFLAKE, AZ, 859376467
Browse AZ providers · Browse ZIP 85937
Phone
8018677492
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in SNOWFLAKE, AZ

Name Credential NPI
MRS. CONNIE KAYE GARDNER M.S. 1659597722
SARAH MILLER OTD, OTR/L 1326658907
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.