Provider Demographics
NPI:1427020379
Name:KAPCHINSKI, KARL (LAT ATC)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:
Last Name:KAPCHINSKI
Suffix:
Gender:M
Credentials:LAT ATC
Other - Prefix:
Other - First Name:KARL
Other - Middle Name:
Other - Last Name:KAPCHINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:1517 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-7102
Mailing Address - Country:US
Mailing Address - Phone:979-845-3121
Mailing Address - Fax:
Practice Address - Street 1:161 WELLBORN RD
Practice Address - Street 2:TEXAS A & M UNIVERSITY
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77843-0001
Practice Address - Country:US
Practice Address - Phone:979-845-3121
Practice Address - Fax:979-847-8514
Is Sole Proprietor?:No
Enumeration Date:2006-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0490OtherLICENSED ATHLETIC TRAINER