Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. IRENE KOUFALIS, LMT
Active Sole ProprietorMS. IRENE KOUFALIS, LMT is a Massage Therapist healthcare provider located in EAST TEXAS, Pennsylvania. NPI 1023507043 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · EAST TEXAS, PA
Registration Details
- NPI Number
- 1023507043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2018 (8.2841676105223 yrs)
- Last Updated
- May 4, 2018
- License
-
MSG004776 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5620 EAST TEXAS ROADEAST TEXAS, PA, 18046Browse PA providers · Browse ZIP 18046
- Phone
- 6105302203
- Fax
- 6103988828
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.