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Mr. Mark Edward Kochkodan, LMT
Massage Therapist in Wilton Manors, Florida
NPI 1033379029

Mark Edward Kochkodan is a Massage Therapist based in Wilton Manors, FL. Mark Edward Kochkodan practices in Wilton Manors, FL and has the professional credentials of LMT. The NPI Number for Mark Edward Kochkodan is 1033379029 and holds a License No. MA31242 (Florida).

The current practice location address for Mark Edward Kochkodan is 2415 N Dixie Hwy, Wilton Manors, FL and can be reached out via phone at 954-563-0001.

Location: 2415 N Dixie Hwy, Wilton Manors, FL, 33305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033379029
Provider Name
Mark Edward Kochkodan
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2415 N Dixie Hwy, Wilton Manors, FL, 33305
Phone Number
954-563-0001
Fax Number
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2415 N Dixie Hwy
City
Wilton Manors
State
Florida
Zip
33305-2239
Phone Number
954-563-0001
Fax Number
person
Provider Business Mailing Address Details
Address
2415 N Dixie Hwy
City
Wilton Manors
State
Florida
Zip
33305-2239
Phone Number
954-563-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA31242 (Florida)
Definition
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.
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