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CAMILLE ELIZABETH CROCKETT ATC
NPI 1396393393
Physical Medicine & Rehabilitation - Sports Medicine in Provo, UT

Active since September 03, 2019
1130 SMITH FIELDHOUSE, PROVO, UT 84602(801) 422-2946 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camille Elizabeth Crockett Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE ELIZABETH CROCKETT ATC (NPI 1396393393) is an individual sports medicine provider in Provo, Utah, licensed in Utah (11395933-4810) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1396393393
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameCAMILLE ELIZABETH CROCKETTCredential: ATC
Location Address1130 SMITH FIELDHOUSEProvo, UT 84602-2246
Mailing Address1130 Smith FieldhouseProvo, UT 84602-2246
Phone(801) 422-2946
Sole ProprietorNo
Enumeration DateSeptember 3, 2019
✔ NPI 1396393393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in UT · 11395933-4810
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1130 SMITH FIELDHOUSE, Provo, UT 84602
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY MILTON WILDING ATC
Specialist/Technologist (Athletic Trainer)
1130 SMITH FIELDHOUSE
PROVO, UT 84602
Utah County (801) 422-2946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Crockett's NPI number?

The NPI number for Camille Crockett is 1396393393. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Camille Crockett located?

Camille Crockett practices at 1130 Smith Fieldhouse, Provo, UT 84602. The listed phone number is (801) 422-2946.

What is Camille Crockett's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Camille Crockett was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.