Individual
KRISTINA KOKOTOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
27 STATE ST STE 30, BANGOR, ME 04401-5141
(207) 217-4699
Mailing address
396 MEADOW RD, HAMPDEN, ME 04444-3244
(207) 217-4699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6343
ME
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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