Individual provider · Type 1 NPI

Kristina Kokotovich, LMT

Massage Therapist · Bangor, ME

NPI number 1154968873 Active

Practice location

27 State St Ste 30
Bangor, ME 04401-5141

Call (207) 217-4699 Map

Mailing address

396 Meadow Rd
Hampden, ME 04444-3244

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT6343 (ME)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1154968873

Kristina Kokotovich, LMT's National Provider Identifier is 1154968873, issued on Dec 1, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bangor, ME. The record was last updated on Dec 1, 2019.