Mrs Kathleen Crockett, RPT is a
Physical Therapist based in Wood River, Illinois. Mrs Kathleen Crockett is licensed to practice in Illinois (license number ) and her current practice location is
400 S Main, Wood River, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 251-2175.
NPI number for Mrs Kathleen Crockett is 1982734414 and her current mailing address is Box 349, 400 S Main, Wood River, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982734414.
Healthcare Provider's Profile
Full Name | Mrs Kathleen Crockett |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 400 S Main, Wood River, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982734414
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kathleen Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982734414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (Illinois) | 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. Mrs Kathleen 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 |
Mrs Kathleen Crockett, RPT Box 349, 400 S Main, Wood River, IL 62095 Ph: (618) 251-2175 | Mrs Kathleen Crockett, RPT 400 S Main, Wood River, IL 62095 Ph: (618) 251-2175 |
Reviews and Comments