Marcia Ann Krokowski, COTA
Individual provider Active NPI Occupational Therapy Assistant · Humboldt, TN
NPI 1376651430 · NPPES record last updated Nov 28, 2011
Key facts
- NPI
- 1376651430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1719 (TN)
- Practice address
- 2400 E Mitchell St
Humboldt, TN 38343-3036 - Phone
- (731) 784-5183
- Fax
- (731) 784-2105
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 1719 | TN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1719 | TN | Yes |
Addresses
Primary practice location
2400 E Mitchell St
Humboldt, TN 38343-3036
Mailing address
2400 E Mitchell St
Humboldt, TN 38343-3036
Phone (731) 784-5183
Other providers in Humboldt, TN
- William B Jones
- Yeo Seol Kang
- Nada Kattoum
- John Kelly
- Keith Kirby
- L B McClaren
- Jeffrey D Lansdale
- Rosalyn Taylor Laster
- Gina Eason Lee
- LTC Therapy Solutions LLC
All providers in Humboldt, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 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.