Traceylin Sales Crouch, MPT
Physical Therapist in Hakalau, HI. Individual provider (NPI-1).
NPI number1649487828
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1649487828
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Traceylin Sales Crouch
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT1390 | HI | Yes |
| 225100000X | Physical Therapist | PTL0010328 | CO |
Practice location
31-104 Kauniho Rd.Hakalau, HI 96710
Phone 808-990-2060
Mailing address
Po Box 522Pepeekeo, HI 96783-0522
Phone 808-990-2060
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