NPI 1194507772

Max Koivisto, NRAEMT

Practitioner Intermediate Emergency Medical Technician Becket, MA

Practice location

Address: 629 Jacobs Ladder Road, Becket, MA 01223
Phone: (413) 623-5027
Fax: (413) 623-2062
Mailing address: 557 Main St, Becket, MA 01223-3252

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence A0900516 (MA)

Other Emergency Medical Technician, Intermediate providers in Massachusetts →

Registry record

NPI: 1194507772
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2023
Record last updated: 18 Oct 2023

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.