Mrs. Jill R Kozhevnikov, PTA
Massage Therapist in Amherst, New Hampshire
1154596005- Practice location
- 12 Middle St, Amherst, NH 03031-2950
- Phone
- 617-319-7175
- Fax
- —
- Last updated
- February 14, 2024
Jill Renee Kozhevnikov is a Massage Therapist based in Amherst, NH. Jill Renee Kozhevnikov practices in Amherst, NH and has the professional credentials of PTA. The NPI Number for Jill Renee Kozhevnikov is 1154596005 and holds a License No. 7779 (MA). The current practice location address for Jill Renee Kozhevnikov is 12 Middle St, Amherst, NH 03031-2950 and can be reached out via phone at 617-319-7175.
Provider Profile Details
- NPI Number
- 1154596005
- Provider Name
- Jill Renee Kozhevnikov
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Middle St, Amherst, NH 03031-2950
- Phone Number
- 617-319-7175
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2008
- Last Update Date
- February 14, 2024
- Certification Date
- February 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Middle St
Amherst, NH 03031-2950 - City
- Amherst
- State
- New Hampshire
- Zip
- 03031-2950
- Phone Number
- 617-319-7175
Provider Business Mailing Address Details
- Address
- 12 Middle St
Amherst, NH 03031-2950 - City
- Amherst
- State
- NH
- Zip
- 03031-2950
- Phone Number
- 617-319-7175
License Information
- License Number (1)
- 7779
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 8046
- License State (2)
- NH
- Taxonomy (2)
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jill R Kozhevnikov, PTA?
The NPI number of Mrs. Jill R Kozhevnikov, PTA is 1154596005. It was assigned on April 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jill R Kozhevnikov, PTA?
Mrs. Jill R Kozhevnikov, PTA is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 7779.
Where does Mrs. Jill R Kozhevnikov, PTA practice?
The practice location is 12 Middle St, Amherst, NH 03031-2950. The office can be reached at 617-319-7175 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154596005 directly on the NPPES registry website.