KRISTINA KOKOTOVICH (NPI# 1154968873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154968873 |
| Entity Type | Individual |
| Full Name | KRISTINA KOKOTOVICH |
| Credential | LMT |
| Practice Address |
27 State St Ste 30 Bangor ME 04401-5141 |
| Mailing Address |
396 Meadow Rd Hampden ME 04444-3244 |
| Practice Telephone | 2072174699 |
| Mailing Telephone | 2072174699 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT6343 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
27 STATE ST STE 30 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558634 | Monica P Gunning | Massage Therapist | 39 Vernon St Apt 2, Bangor, ME 04401-5947 | 2019-10-04 |
| 1023676095 | Gabrielle Elizabeth Marquis | Massage Therapist | 175 Union St Ste A, Bangor, ME 04401-6100 | 2019-06-04 |
| 1104228816 | Theresa Hart | Massage Therapist | 116 Hammond St, Bangor, ME 04401-4915 | 2014-09-24 |
| 1629483995 | Daniel Tscherwinski | Massage Therapist | 24c Broadway, Bangor, PA 18013-2602 | 2014-06-25 |
| 1023448602 | Melissa Rogers | Massage Therapist | 426 Messinger St, Bangor, PA 18013-2026 | 2013-11-19 |
| 1841445632 | Jeffrey Figgins | Massage Therapist | 1460 Outer Hammond St., Bangor, ME 04401 | 2008-11-21 |
| 1497870703 | Kevin Paul Riley | Massage Therapist | 147 Palm St, Bangor, ME 04401-4021 | 2007-03-20 |
| 1730746132 | Suzanne Philp | Massage Therapist | 229 State St, Bangor, ME 04401-5414 | 2019-05-22 |
| 1316340904 | The Bodyworks | Massage Therapist | 195 State St, Bangor, ME 04401-5410 | 2014-09-26 |
| 1568890283 | Debra Ann Shaw | Massage Therapist | 263 State St, Suite 6, Bangor, ME 04401-5435 | 2013-10-15 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.