Tim Ray Brockett
Tim Ray Brockett is a Developmental Therapist in Crossville, Tennessee. Works from 2 locations. Licensed in Florida and Tennessee.
- Licensed in
- FL, TN
- In the registry since
- 2018
- Specialties on file
- 4
Practice location Address checks out
56 S Main StCrossville, TN 38555-4520
Phone: (440) 812-2853
Fax: (931) 707-9474
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 149 Pearson St, Lehigh Acres, FL 33974-0428 — (440) 812-2853
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 7758 (TN) |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence OTA16207 (FL) |
| Occupational Therapist | Taxonomy 225X00000X · Licence OT22381 (FL) |
Record details
| NPI number | 1093223182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | May 19, 2025 |
| Certification date | May 19, 2025 |
| Mailing address | 56 S Main St, Crossville, TN 38555-4520 |