Jill Renee Kozhevnikov, PTA
Massage Therapist in Amherst, NH. Individual provider (NPI-1).
NPI number1154596005
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1154596005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jill Renee Kozhevnikov
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2008
- Certification date
- Feb 6, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 8046 | NH | Yes |
| 225200000X | Physical Therapy Assistant | 7779 | MA |
Practice location
12 Middle StAmherst, NH 03031-2950
Phone 617-319-7175
Mailing address
12 Middle StAmherst, NH 03031-2950
Phone 617-319-7175
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All 16 Massage Therapist providers in Amherst · All 332 providers in Amherst
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