Individual
MR. CHRISTOPHER MICHAEL KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS, CSCS
Contact information
Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-8519
(859) 258-8592
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
003847
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100383540
—
KY
Enumeration date
06/27/2006
Last updated
04/07/2025
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