Michael G Crockett, MPT

NPI #1699718403 in Moorhead, Minnesota

Provider Information

NPI Number: 1699718403
Entity Type: Individual
Name: Michael G Crockett, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jun 13, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 2921 S FRONTAGE RD STE 2
City: Moorhead
State: Minnesota
ZIP Code: 56560-2571
Phone: (218) 233-7029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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