George Koukouves, L.M.T.
Individual provider Active NPI Massage Therapist · Carefree, AZ
NPI 1477813871 · NPPES record last updated May 21, 2012
Key facts
- NPI
- 1477813871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-03432P (AZ)
- Practice address
- 36800 N. Sidewinder
A-8
Carefree, AZ 85377 - Phone
- (480) 363-0091
- Fax
- (480) 575-1181
- NPI assigned
- May 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-03432P | AZ | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT-03432P | AZ | |
| Massage Therapist | 225700000X | MT-03432P | AZ | Yes |
Addresses
Primary practice location
36800 N. Sidewinder
A-8
Carefree, AZ 85377
Mailing address
15734 E Sycamore Dr
Fountain Hills, AZ 85268-4371
Phone (480) 836-6888
Other providers in Carefree, AZ
- Diane E Hrdina
- Judith A Ingalls IV
- Monica Marie Jensen
- Susanne Catherine Johnson
- Kenneth Kearns
- Lisa Lloyd
- Lodo Pain LLC
- Thomas Wright Lutz
- Faiza Malik
- Tamara Cheryl Martin-Causey
All providers in Carefree, AZ · Massage Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.