Individual
MR. GEORGE KOUKOUVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
36800 N. SIDEWINDER, A-8, CAREFREE, AZ 85377
(480) 363-0091
(480) 575-1181
Mailing address
15734 E SYCAMORE DR, FOUNTAIN HILLS, AZ 85268-4371
(480) 836-6888
(480) 836-6888
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MT-03432P
AZ
225700000X
Massage Therapist
Primary
MT-03432P
AZ
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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