Melissa Crockett Crockett in Boston - Physical Therapy Assistant

Melissa Crockett Crockett - NPI 1073735734

Melissa Crockett Crockett is a Physical Therapy Assistant in Boston, Massachusetts. Melissa Crockett Crockett practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Melissa Crockett Crockett is 1073735734. The last update date is 2007-07-08.

Melissa Crockett Crockett's current location address is 9 Yarmouth Pl, Boston, Massachusetts. You can contact this provider via phone number 6178694193. The mailing address for Melissa Crockett Crockett is 9 Yarmouth Pl, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Crockett Crockett
Address 9 Yarmouth Pl, Boston, Massachusetts
Phone Number 6178694193
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1073735734
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9 Yarmouth Pl
City Boston
State Massachusetts (MA)
Post Code 21165865
Phone Number 6178694193
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 7994
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Melissa Crockett Crockett

What is the Melissa Crockett Crockett's unique identification number?

The Melissa Crockett Crockett has been assigned the NPI (National Provider Identifier) Number 1073735734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Melissa Crockett Crockett?

The Melissa Crockett Crockett is situated at 9 Yarmouth Pl, in the city of Boston, state of MA, with the zip code 21165865.

What is the Melissa Crockett Crockett's specialty and taxonomy code?

The Melissa Crockett Crockett's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073735734 to Melissa Crockett Crockett?

The Centers for Medicare & Medicaid Services originally issued the 1073735734 to Melissa Crockett Crockett on 2007-05-03.

As of what date was the information regarding Melissa Crockett Crockett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melissa Crockett Crockett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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