Provider Demographics
NPI:1417541608
Name:HAMRYSZCZAK, KRZYSZTOF (DPT)
Entity Type:Individual
Prefix:MR
First Name:KRZYSZTOF
Middle Name:
Last Name:HAMRYSZCZAK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 WILLIS AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2145
Mailing Address - Country:US
Mailing Address - Phone:941-313-5198
Mailing Address - Fax:
Practice Address - Street 1:1451 2ND ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4905
Practice Address - Country:US
Practice Address - Phone:941-203-8705
Practice Address - Fax:941-203-8786
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-27
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist