MEDICARE: JESSICA CROVETTO ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer
2	164W00000X	Licensed Practical Nurse	PN.0332845	CO

General Provider Information

NPI Number	:	1013406719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA CROVETTO ATC

Provider Business Mailing Address
First Line	:	6913 MCMAHON ST APT B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80902-4387
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6913 MCMAHON ST APT B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80902-4387
Country	:	US
Telephone Number	:	714-337-0011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	05/08/2018

Similar Medicare Providers

1265671069 — JENNIFER CLAIRE HILL X P.T.
Practice Location Address:

351 HUCK FINN TRL
DRIPPING SPRINGS, TX
78620-4387

Practice Phone: 512-829-4279
Practice Fax:

1619777075 — ANGELA NICHOLE HILL HHP
Practice Location Address:

4387 S ALABAMA AVE
HOMOSASSA SPRINGS, FL
34446-1236

Practice Phone: 904-580-1032
Practice Fax:

1124344775 — HEALING HAND'S CAREGIVERS,LLC
Practice Location Address:

5703 HARR AVE APT B
COLORADO SPRINGS, CO
80902-1914

Practice Phone: 719-208-5231
Practice Fax:

1063845030 — MRS. TAHEERAH BAHEEJAH RAHIM-GIBSON RRT
Practice Location Address:

5463 MCCULLOUGH DR APT C
COLORADO SPRINGS, CO
80902-1679

Practice Phone: 808-227-1808
Practice Fax:

1538595376 — MARY RICHARDSON
Practice Location Address:

7906 BAYONET CIR APT C
COLORADO SPRINGS, CO
80902

Practice Phone: 803-402-2041
Practice Fax:

1720513732 — SUZANNE HEPLER COTA/L
Practice Location Address:

7092 HARR AVE BLDG 6492
COLORADO SPRINGS, CO
80902-2190

Practice Phone: 803-645-3484
Practice Fax:

Directions to “ JESSICA CROVETTO ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.