| Doctor Name: | JENNIFER NICOLE CROOKS |
| NPI Number: | 1790825404 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 11-02694 |
| Business Practice Address: | 2133 Nw 13th St Blue Springs, MO - 640157734 |
| Business Phone Number: | 8162240003 |
| Business Fax Number: | 8162242199 |
| Mailing Address: | 1402 Tabitha Ln, GREENWOOD |
| State: | MO |
| Postal Code: | 640349220 |
| Phone Number: | 8165374553 |
| Fax Number: | 8165374542 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-02694 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |