Doctor Name: | MR. JOEL KOUYOUMJIAN |
NPI Number: | 1427332568 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT, CAMT |
License Number: | 3348M |
Business Practice Address: | 111 Riverway Pl Bedford, NH - 031106730 |
Business Phone Number: | 6039358422 |
Business Fax Number: | |
Mailing Address: | 1029 S Mammoth Rd Unit 27, MANCHESTER |
State: | NH |
Postal Code: | 031095139 |
Phone Number: | 6039358422 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3348M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |