NPI 1083722284

Timothy Joseph Kruchowsky, PT

Practitioner Physical Therapist Gulfport, MS

Practice location

Address: 1500 45th Ave STE B, Gulfport, MS 39501-3714
Phone: (228) 864-1212
Fax: (228) 868-2323
Mailing address: 12958 Coles Cv, Gulfport, MS 39503-5620

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT0843MS (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1083722284
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.