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Deactivated NPI 1730315342 Deactivated / Inactive NPI Male Practitioner

David Bowen Crockett , LMT

Massage Therapist • Eugene, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Crockett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2009
NPI Deactivation Date July 19, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

David Crockett, LMT was a registered Massage Therapist practicing in Eugene, OR. Throughout an active medical career spanning 14 years, David Crockett provided care at the practice location at 1245 CHARNELTON ST until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

1245 Charnelton St
Suite 8

Eugene, OR 974016214

Telephone 5413426754
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
601 Specialists

Practicing in Eugene, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 2715

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Talicia Brown , LMT

Massage Therapist

NPI 1134251903

Licensed Massage Therapist

NPI 1184798860

Doctor of Chiropractic

Andie Johnson

Massage Therapist

NPI 1205561495
NPI 1396880647

Bachelor of Arts, Licensed Massage Therapist

NPI 1518170265

Licensed Acupuncturist

Kate Hirst , LMT

Massage Therapist

NPI 1609275932

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2009

Registered at 1245 CHARNELTON ST, SUITE 8, EUGENE, OR 974016214 (Tel: 5413426754)

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Updated Business Mailing Address June 09, 2009

Registered at 1245 CHARNELTON ST, SUITE 8, EUGENE, OR 974016214 (Tel: 5413426754)

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Provider Name / Credentials Updated June 09, 2009

Recorded as DAVID CROCKETT, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Massage Therapist (License #2715 in OR)

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Initial NPI Registration & Enumeration June 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730315342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2009
Last Update: June 09, 2009
Deactivation Date: July 19, 2023

Mailing Address

1245 Charnelton St, Suite 8

Eugene, OR 974016214

Phone: 5413426754

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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