Provider Demographics
NPI:1235403759
Name:MICHALSKI, KARYN M (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:M
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:M
Other - Last Name:KAPANEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6325 TONAWANDA CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-9524
Mailing Address - Country:US
Mailing Address - Phone:716-308-6092
Mailing Address - Fax:
Practice Address - Street 1:6325 TONAWANDA CREEK RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-9524
Practice Address - Country:US
Practice Address - Phone:716-308-6092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010885225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400066062Medicare PIN