Ethan Andrew Crocker, DPT in Austin, MN - Physical Medicine & Rehabilitation

Ethan Andrew Crocker, DPT is a Physical Medicine & Rehabilitation physician based in Austin, Minnesota. Ethan Andrew Crocker is licensed to practice in Minnesota (license number 12793) and his current practice location is 1000 1st Dr Nw, Austin, Minnesota. He can be reached at his office (for appointments etc.) via phone at (507) 433-8758.

NPI number for Ethan Andrew Crocker is 1003531336 and his current mailing address is 1000 1st Dr Nw, Austin, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003531336.

Contact Information

	Ethan Andrew Crocker, DPT
	1000 1st Dr Nw, Austin, MN 55912-2941
	(507) 433-8758
	Not Available

Physician's Profile

Full Name	Ethan Andrew Crocker
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	1000 1st Dr Nw, Austin, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003531336
Provider Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022

Medical Identifiers

Medical identifiers for Ethan Andrew Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003531336	NPI	-	NPPES
12793	Other	MN	MINNESOTA LICENSE DPT NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	12793 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Andrew Crocker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethan Andrew Crocker, DPT 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 433-8758	Ethan Andrew Crocker, DPT 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 433-8758

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Ethan Andrew Crocker, DPT - Physical Medicine & Rehabilitation in Austin, MN