Provider Demographics
NPI:1972641272
Name:KASPROWICZ, DANIEL ERNEST JR (PT, ATC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ERNEST
Last Name:KASPROWICZ
Suffix:JR
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 W BANDERA RD STE 9
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2521
Mailing Address - Country:US
Mailing Address - Phone:830-249-7211
Mailing Address - Fax:830-249-4698
Practice Address - Street 1:430 W BANDERA RD STE 9
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2521
Practice Address - Country:US
Practice Address - Phone:830-249-7211
Practice Address - Fax:830-249-4698
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1063071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist