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Contact Information

CAROL V CROCKETT, PTA
521 WEST MAIN STREET
LEBANON, TN37087
 Phone: 615-444-9400
 Fax: 615-444-9406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CAROL V CROCKETT · (Female)

NPI Number 1205837713
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/09/2005
Last updated 01/04/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 70
  • TN Other 70 TN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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