Organization
CROCKETT THERAPY SERVICES
Active
Organization
CROCKETT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD (CHIP) JARRETT (PRESIDENT)
(800) 747-2933
Entity
Organization
Contact information
Practice address
407 GOSSETT AVE, CROCKETT, TX 75835-1507
(936) 545-2044
(936) 546-0021
Mailing address
407 GOSSETT AVE, CROCKETT, TX 75835-1507
(936) 545-2044
(936) 546-0021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063DS
BCBS OF TX PROVIDER #
TX
Enumeration date
07/14/2006
Last updated
08/22/2020
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