Provider Demographics
NPI:1669335717
Name:CROCKER, THERESA TOMASZEWSKI (RD)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:TOMASZEWSKI
Last Name:CROCKER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15711 ALMONDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1003
Mailing Address - Country:US
Mailing Address - Phone:813-843-6924
Mailing Address - Fax:
Practice Address - Street 1:15711 ALMONDWOOD DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1003
Practice Address - Country:US
Practice Address - Phone:813-843-6924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty