Individual
THOMAS KOUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH4455
AL
Other
Enumeration date
01/23/2007
Last updated
01/22/2014
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