NPI 1003531336

Ethan Andrew Crocker, DPT

Practitioner Physical Medicine & Rehabilitation Physician Austin, MN

Practice location

Address: 1000 1st Dr NW, Austin, MN 55912-2941
Phone: (507) 433-8758

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 12793 (MN)

Other Physical Medicine & Rehabilitation providers in Minnesota →

Registry record

NPI: 1003531336
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2022
Record last updated: 10 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.