Crockett, Kathleen

Crockett, Kathleen is an individual health care provider with primary practice located at 400 S Main , Wood River IL 62095. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crockett, Kathleen can be contacted via phone (618) 251-2175.

Contact Information

Primary practice address
400 S Main Wood River IL 62095
Phone: (618) 251-2175
Fax: (618) 251-6294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1982734414
LBN Legal business name Crockett, Kathleen
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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