Timothy Ray Walendzik, LMT

Contractor · Hudson, FL

Individual Active NPI

NPI number 1114078961

Practice location

13911 Lakeshore Blvd
Unit 102
Hudson, FL 34667-7102
Phone
(727) 869-3803

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NPI record

NPI
1114078961
Entity type
Individual (Type 1)
Enumeration date
January 16, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X MA 47444 FL

Mailing address

1248 Jasmine Lake Dr
Tarpon Springs, FL 34689-5264
Phone
(727) 934-2981

About Timothy Walendzik

Timothy Ray Walendzik, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 13911 Lakeshore Blvd, Unit 102, Hudson, FL 34667-7102. The NPI number 1114078961 was assigned on January 16, 2007 and the record was last updated on July 8, 2007.

Timothy Walendzik lists a license in the registry: #MA 47444 (FL) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Ray Walendzik, LMT?

The NPI number is 1114078961.

What is the phone number of Timothy Walendzik?

The phone number listed for the practice location is (727) 869-3803.

Where is Timothy Walendzik located?

13911 Lakeshore Blvd, Unit 102, Hudson, FL 34667-7102.

What is the taxonomy code for Timothy Walendzik?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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