Individual provider · Type 1 NPI

Waldemar Kogan, LMT

Massage Therapist · Maitland, FL

NPI number 1245379627 Active

Practice location

467 Lake Howell Rd, Suite 103
Maitland, FL 32751-5922

Call (407) 927-4450 Map

Fax (407) 628-0323

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA7323 (FL)

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 1245379627

Waldemar Kogan, LMT's National Provider Identifier is 1245379627, issued on Feb 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maitland, FL. The record was last updated on Aug 13, 2008.