Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shelia D Crockett, ATC/L

Individual provider Athletic Trainer · NPI 1063524759

Mrs. Shelia D Crockett, ATC/L is an Athletic Trainer in Bristol, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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Practice location Address checks out

1350 King College Rd
Bristol, TN 37620-2632
Phone: (423) 652-4762
Fax: (423) 652-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0000000651 (TN)

Record details

NPI number1063524759
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC/L
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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