MIKHAIL S KLAKOTSKIY
Physical Therapist


Address: 420 Main St Apt 62, Agawam, MA 01001-1844

MIKHAIL S KLAKOTSKIY (Credential# 1666523) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MIKHAIL S KLAKOTSKIY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012324. The credential type is physical therapist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 420 Main St Apt 62, Agawam, MA 01001-1844. The current status is active.

Basic Information

Licensee Name MIKHAIL S KLAKOTSKIY
Credential ID 1666523
Credential Number 14.012324
Credential Type Physical Therapist
Business Address 420 Main St Apt 62
Agawam
MA 01001-1844
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-08-01
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1116903 63.001297 Physical Therapist Assistant 2012-12-06 2019-03-01 - 2020-02-29 ACTIVE IN RENEWAL
1117100 63.001282-TEMP PTA Temporary Permit 2012-08-16 2012-08-16 - 2012-12-06 INACTIVE

Office Location

Street Address 420 MAIN ST APT 62
City AGAWAM
State MA
Zip Code 01001-1844

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pamela J Freeman Brown 1324 Main Street, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Ashley Erin Dimauro 25 Deer Run Road, Agawam, MA 01001 Registered Nurse ~
Lou A Fitch 60 Mallard Circle, Agawam, MA 01001 Notary Public Appointment 2015-04-01 ~ 2020-03-31
Maryanne Catanzaro · Catanzaro,leone 16 Channell Drive, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Sunhee Hwang 54 River Rd, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2021-10-31
Taehoon An 58 River Rd, Agawam, MA 01001 Nail Technician 2020-06-17 ~ 2022-05-31
Ji Hye Safarik 119 Albert St, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2022-02-28
Consuelo Ana Leblanc 39 Hunting Lane, Agawam, MA 01001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sangkeun Yi 322 Meadow St, Agwam, MA 01001 Nail Technician 2020-06-12 ~ 2022-06-30
Kyunghee Koh 56 River Road, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-08-31
Find all Licenses in zip 01001

Competitor

Search similar business entities

City AGAWAM
Zip Code 01001
License Type Physical Therapist
License Type + County Physical Therapist + AGAWAM

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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