Stephen M Crockett, PTA
Physical Therapy Assistant in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1730833161
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1730833161
- Entity type
- Individual (NPI-1)
- Name
- Stephen M Crockett
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2022
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA.0015133 | CO | Yes |
Practice location
8540 Scarborough Dr Ste 200Colorado Springs, CO 80920-7513
Phone 303-322-8300
Mailing address
891 Westmoreland Rd Apt 205Colorado Springs, CO 80907-4649
Phone 814-403-6700
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All 217 Physical Therapy Assistant providers in Colorado Springs · All 25,904 providers in Colorado Springs
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