Provider Demographics
NPI:1679683825
Name:BARTKOWSKI, CHRISTOPHER RICHARD (DC, PT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RICHARD
Last Name:BARTKOWSKI
Suffix:
Gender:M
Credentials:DC, PT
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Mailing Address - Street 1:9295 EAST STOCKTON BLVD
Mailing Address - Street 2:STE 10
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624
Mailing Address - Country:US
Mailing Address - Phone:916-226-6640
Mailing Address - Fax:
Practice Address - Street 1:9295 EAST STOCKTON BLVD
Practice Address - Street 2:STE 10
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624
Practice Address - Country:US
Practice Address - Phone:916-226-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC30165111N00000X
CA41367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor