Branden Crockett, D.P.T

NPI 1922392265 · on the registry since 2011 · sole proprietor

Practice

Address: 310 W Losey St
Scott Afb, IL 62225
Phone: (618) 256-9355
Organisation at this address: Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 114

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 225100000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois