Individual provider · Type 1 NPI
Kostyantyn Shkilnyy
Massage Therapist · Macomb Township, MI
NPI number
1699118455
Active
Practice location
48254 Ellington Drive
Macomb Township, MI 48044
Mailing address
48254 Ellington Dr
Macomb, MI 48044-2279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501000299 (MI) |
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.
About NPI 1699118455
Kostyantyn Shkilnyy's National Provider Identifier is 1699118455, issued on Apr 11, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Macomb Township, MI. The record was last updated on Apr 11, 2013.