Provider Demographics
NPI:1619115771
Name:KRIZEK, MICHAEL K (LMBT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:K
Last Name:KRIZEK
Suffix:
Gender:M
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1998 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2349
Mailing Address - Country:US
Mailing Address - Phone:828-277-7672
Mailing Address - Fax:828-687-8890
Practice Address - Street 1:1998 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2349
Practice Address - Country:US
Practice Address - Phone:828-277-7672
Practice Address - Fax:828-687-8890
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2016-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6304172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCKRI2838OtherHEALTHWAYS WHOLEHEALTH NETWORKS, INC
NC1101896OtherAMERICAN SPECIALTY HEALTH
NC465658149OtherHEALTHSCOPE