Provider Demographics
NPI:1568250462
Name:SZRAMKA, ANGELA KIMBERLY (LMT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:KIMBERLY
Last Name:SZRAMKA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 RED ROCK CIR
Mailing Address - Street 2:
Mailing Address - City:PENROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81240-9438
Mailing Address - Country:US
Mailing Address - Phone:719-244-0531
Mailing Address - Fax:
Practice Address - Street 1:831 ROYAL GORGE BLVD STE 224
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-6709
Practice Address - Country:US
Practice Address - Phone:719-285-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0024748225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist