Melissa Hardin Crockett, LPTA
Individual provider Active NPI Physical Therapy Assistant · Saltillo, MS
NPI 1003197922 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1003197922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA1363 (MS)
- Practice address
- 115 Park Ridge Rd
Saltillo, MS 38866-9390 - Phone
- (662) 687-2886
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1363 | MS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1363 | MS | Yes |
Addresses
Primary practice location
115 Park Ridge Rd
Saltillo, MS 38866-9390
Mailing address
115 Park Ridge Rd
Saltillo, MS 38866-9390
Phone (662) 687-2886
Other providers in Saltillo, MS
- Sarah Rebekah Christian
- Steven B Coggins X
- Core Rehabilitation, LLC
- Amy Cornelius
- Creekside Manor Assisted Living, Inc.
- Carla Davis
- Hunter Dawson
- Dogwood Family Pharmacy Inc
- Dogwood Homeplace
- Dpti Elite Physical Therapy LLC
All providers in Saltillo, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.