Tom Krzysiak
Physical Therapist in Sodus, MI. Individual provider (NPI-1).
NPI number1982258208
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1982258208
- Entity type
- Individual (NPI-1)
- Name
- Tom Krzysiak
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2019
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501017915 | MI | Yes |
Practice location
4132 River RdSodus, MI 49126-9727
Phone 989-964-1805
Mailing address
4132 River RdSodus, MI 49126-9727
Phone 989-964-1805
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