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

Ethan Andrew Crocker, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003531336

Ethan Andrew Crocker, DPT is a Physical Medicine & Rehabilitation Physician in Austin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1000 1st Dr NW
Austin, MN 55912-2941
Phone: (507) 433-8758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 12793 (MN)

Record details

NPI number1003531336
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address1000 1st Dr Nw, Austin, MN 55912-2941