Organization
EARTECH INC
Active
Organization
EARTECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJA LYNN KRYWKO (VICE PRESIDENT)
(941) 747-8193
Entity
Organization
Contact information
Practice address
3904 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-8193
Mailing address
3904 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-8193
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
AY549
FL
235Z00000X
Speech-Language Pathologist
SA2294
FL
237700000X
Hearing Instrument Specialist
AS0002378
FL
237700000X
Hearing Instrument Specialist
Primary
AS0002885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0639
HEARING,AUDIOLOGY
FL
Enumeration date
04/04/2007
Last updated
09/11/2025
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