IndividualActive
Jeffery Crockett, DC
NPI 1912514217 · Chiropractor · Highland, UT
Provider details
- NPI number
- 1912514217
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 11932207-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Practice location
5455 W 11000 N Ste 107
Highland, UT 84003-8801
Phone: (801) 770-4333
Approximate (ZIP-level) locationGet directions
Mailing address
1770 E Fort Union Blvd
Cottonwood Heights, UT 84121-2876
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.