Doctor Name: | TIMOTHY JOSEPH KRUCHOWSKY |
NPI Number: | 1083722284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT0843MS |
Business Practice Address: | 1500 45th Ave Ste B Gulfport, MS - 395013714 |
Business Phone Number: | 2288641212 |
Business Fax Number: | 2288682323 |
Mailing Address: | 12958 Coles Cv, GULFPORT |
State: | MS |
Postal Code: | 395035620 |
Phone Number: | 2288319480 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0843MS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |