Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH JOSEPH KACZKA, DPT

Active Sole Proprietor

KENNETH JOSEPH KACZKA, DPT is a Physical Therapy Assistant healthcare provider located in ST AUGUSTINE, Florida. NPI 1922730811 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ST AUGUSTINE, FL

Registration Details

NPI Number: 1922730811
Provider Type: Individual
Gender: Male
NPI Issued: Jun 29, 2022 (4.1238467957076 yrs)
Last Updated: Aug 26, 2022
License: PT38655 (FL)
Sole Proprietor: Yes

Practice Information

Address: 105 MURABELLA PKWY STE 6

ST AUGUSTINE, FL, 320924540
Browse FL providers · Browse ZIP 32092
Phone: 9042242666
Fax: 9042242667
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ST AUGUSTINE, FL

Name	Credential	NPI
PATRICIA OCONNELL	PHYSICAL THERAPIST	1770567620
MR. JOSEPH N. WEBB	PT	1427015072
LYNN M O'DONNELL	PT	1962469064
DR. DEBORAH A JACKSON	PHD,PT, OCS,CMP, ATC	1336107408
MRS. DONNA BROWDER GRACE	P.T.	1114978756
MR. REGINO IRWIN BARISO REYES	PT	1861448557

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.