Lidiya Kozlova, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60228696 Issued in WA

Practice address

5006 Center St Dr Ste N
Aim Physical Therapy
Tacoma, WA 98327

Phone

(253) 964-1559

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1184902116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 BRIDGEPORT WAY W # D7",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST DR STE N",
            "address_2": "AIM PHYSICAL THERAPY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98327",
            "telephone_number": "253-964-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVA",
        "first_name": "LIDIYA",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60228696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Briana Kowalski, RN, BSN
• Kyle Lee Kowalsky, DO
• Shelly Ann Koyen
• Courtney Nicole Kozakiewicz, BSN, RN
• Mark Henry Kozakowski, D.O
• Michael Koznarsky, M.D.
• KR Sammy BD Pak DDS PLLC
• Stacie Linne Krabill, ARNP
• Kelly A Kraemer, BA , SUDPT
• David William Kraljevich, LMHC

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.