MR. STANISLAV KONONOV, LMT
Massage Therapist
Active
Individual
NPI: 1922748169
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 3048-146 (WI) |
Frequently Asked Questions
NPI 1922748169 is the National Provider Identifier for MR. STANISLAV KONONOV, LMT, a Massage Therapist provider located in Glendale, WI. This NPI was enumerated on March 29, 2022.
MR. STANISLAV KONONOV, LMT practices at 5215 N IRONWOOD RD STE 104, Glendale, WI 53217.
Quick Facts
- NPI
- 1922748169
- Type
- Individual
- Enumerated
- Mar 29, 2022
- Last Updated
- Mar 29, 2022
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