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Mr. Stanislav Kononov, LMT
Massage Therapist in Glendale, Wisconsin
NPI 1922748169

Stanislav Kononov is a Massage Therapist based in Milwaukee, WI. Stanislav Kononov practices in Glendale, WI and has the professional credentials of LMT. The NPI Number for Stanislav Kononov is 1922748169 and holds a License No. 3048-146 (Wisconsin).

The current practice location address for Stanislav Kononov is 5215 N Ironwood Rd Ste 104, Glendale, WI and can be reached out via phone at 414-334-1023.

Location: 5215 N Ironwood Rd Ste 104, Glendale, WI, 53211-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922748169
Provider Name
Stanislav Kononov
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5215 N Ironwood Rd Ste 104, Glendale, WI, 53211-4005
Phone Number
414-334-1023
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5215 N Ironwood Rd Ste 104
City
Glendale
State
Wisconsin
Zip
53217-4908
Phone Number
414-334-1023
Fax Number
person
Provider Business Mailing Address Details
Address
5215 N Ironwood Rd Ste 104
City
Glendale
State
Wisconsin
Zip
53217-4908
Phone Number
414-334-1023
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
3048-146 (Wisconsin)
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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