NPI 1205837713

Carol V Crockett, PTA

Practitioner Physical Therapy Assistant Lebanon, TN

Practice location

Address: 521 West Main Street, Lebanon, TN 37087
Phone: (615) 444-9400
Fax: (615) 444-9406

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 70 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1205837713
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2005
Record last updated: 4 Jan 2010

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.