NPI 1154968873

Kristina Kokotovich, LMT

Practitioner Massage Therapist Bangor, ME

Practice location

Address: 27 State St STE 30, Bangor, ME 04401-5141
Phone: (207) 217-4699
Mailing address: 396 Meadow Rd, Hampden, ME 04444-3244

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT6343 (ME)

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Registry record

NPI: 1154968873
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2019
Record last updated: 1 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.