MEDICARE: DANIELLE A KRYWKO LMBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	21056	NC

General Provider Information

NPI Number	:	1962381657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE A KRYWKO LMBT

Provider Business Mailing Address
First Line	:	2331 BEAR CREEK RD
Second Line	:
City	:	LEICESTER
State	:	NC
Zip	:	28748-6324
Country	:	US
Telephone Number	:	805-610-5910
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 ASHELAND AVE STE 102
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4055
Country	:	US
Telephone Number	:	828-575-5904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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