Kaitlin Crockett Crockett, ATC, LMT is a
Specialist/technologist - Athletic Trainer based in Orono, Maine. Kaitlin Crockett Crockett is licensed to practice in Maine (license number AT483) and her current practice location is
5747 Memorial Gym, Orono, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 581-4288.
NPI number for Kaitlin Crockett Crockett is 1447775317 and her current mailing address is 5747 Memorial Gym, Orono, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447775317.
Healthcare Provider's Profile
Full Name | Kaitlin Crockett Crockett |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 5747 Memorial Gym, Orono, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447775317
- Provider Enumeration Date: 08/11/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Kaitlin Crockett Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447775317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (Maine) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT483 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlin Crockett Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaitlin Crockett Crockett, ATC, LMT 5747 Memorial Gym, Orono, ME 04469-5747 Ph: (207) 581-4288 | Kaitlin Crockett Crockett, ATC, LMT 5747 Memorial Gym, Orono, ME 04469-5747 Ph: (207) 581-4288 |
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