Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STANISLAV KONONOV, LMT
Active Sole ProprietorMR. STANISLAV KONONOV, LMT is a Massage Therapist healthcare provider located in GLENDALE, Wisconsin. NPI 1922748169 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GLENDALE, WI
Registration Details
- NPI Number
- 1922748169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2022 (4.4189189158422 yrs)
- Last Updated
- Mar 29, 2022
- License
-
3048-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5215 N IRONWOOD RD STE 104GLENDALE, WI, 532174908Browse WI providers · Browse ZIP 53217
- Phone
- 4143341023
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GLENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| CASANDRA STIEBER | LMT | 1891409884 |
| LARISSA LYNN PERRY | LMT | 1578278511 |
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.