Kevin William Truszkowski, L.M.T. (LICENSE MASS
Individual provider Active NPI Massage Therapist · Effort, PA
NPI 1831759059 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1831759059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18KT00703900 (NJ)
- Practice address
- 173 Shenkel Road
Effort, PA 18330-9044 - Phone
- (610) 217-3702
- NPI assigned
- Jun 19, 2019
- 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 |
|---|---|---|---|
| 18KT00703900 | NJ | MD | Massage Therapist |
| MSG004969 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG004969 | PA | |
| Massage Therapist | 225700000X | 18KT00703900 | NJ | Yes |
Addresses
Primary practice location
173 Shenkel Road
Effort, PA 18330-9044
Mailing address
P.O. Box 210
Saylorsburg, PA 18353-0210
Other providers in Effort, PA
- Ride4Health Scranton
- Bridget Schultz
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- Sped Consulting & Therapy
- Patricia A Tosi
- Ann Marie Turso
- Helen Vinck
- Nicholas Vo
- George Waldenmayer
- Jennifer Lauren Watson
All providers in Effort, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2019. 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.