Jed Michael Crots, ATC
Individual provider Active NPI Athletic Trainer · Petersburg, MI
NPI 1043758352 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1043758352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT1259 (KY)
- Practice address
- 8908 Sylvania Petersburg Rd
Petersburg, MI 49270-9338 - Phone
- (419) 344-7396
- NPI assigned
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| AT1259 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1259 | KY | Yes |
Addresses
Primary practice location
8908 Sylvania Petersburg Rd
Petersburg, MI 49270-9338
Mailing address
8908 Sylvania-Petersburg Rd
Petersburg, MI 49270-9338
Phone (419) 344-7396
Other providers in Petersburg, MI
- Jaylynn Bean
- Better at Home
- Pamela Cunningham
- Megan Marie-Josephine Hart
- Lisa Hudgin
- Bethany Kinney
- Ashten Petravicius
All providers in Petersburg, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. 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.