Provider Demographics
NPI:1902838667
Name:KREJCI, AARON JAMES (PT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:KREJCI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2395 BULVERDE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-4571
Mailing Address - Country:US
Mailing Address - Phone:830-980-6880
Mailing Address - Fax:830-980-6881
Practice Address - Street 1:2395 BULVERDE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4571
Practice Address - Country:US
Practice Address - Phone:830-980-6880
Practice Address - Fax:830-980-6881
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078939225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T3178OtherBCBS
TX8T3178OtherBCBS