MR. Stanislav Kononov, LMT is a massage therapist in Glendale, WI. The provider is 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. MR. Stanislav Kononov, LMT NPI is 1922748169. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5215 N IRONWOOD RD STE 104
GLENDALE, WI
ZIP 53217-908
Phone: (414) 334-1023
The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.