Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camille Elizabeth Crockett, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1396393393

Camille Elizabeth Crockett, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1130 Smith Fieldhouse
Provo, UT 84602-2246
Phone: (801) 422-2946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 11395933-4810 (UT)

Record details

NPI number1396393393
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESSeptember 3, 2019

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