MR. Stanislav Kononov, LMT

NPI #1922748169 in Glendale, Wisconsin

Provider Information

NPI Number: 1922748169
Entity Type: Individual
Name: MR. Stanislav Kononov, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 29, 2022
Last Updated: Mar 29, 2022

Practice Location

Address: 5215 N IRONWOOD RD STE 104
City: Glendale
State: Wisconsin
ZIP Code: 53217-4908
Phone: (414) 334-1023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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