Provider Demographics
NPI:1801119714
Name:SZALONEK, KRISTOPHER WILLIAM (MPT)
Entity type:Individual
Prefix:MR
First Name:KRISTOPHER
Middle Name:WILLIAM
Last Name:SZALONEK
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2342 PROFESSIONAL PKWY
Mailing Address - Street 2:#110
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1630
Mailing Address - Country:US
Mailing Address - Phone:805-614-0400
Mailing Address - Fax:805-614-0500
Practice Address - Street 1:2342 PROFESSIONAL PKWY
Practice Address - Street 2:#110
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1630
Practice Address - Country:US
Practice Address - Phone:805-614-0400
Practice Address - Fax:805-614-0500
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist