Mr Mark Edward Kochkodan, LMT - Massage Therapist in Wilton Manors, FL

Mr Mark Edward Kochkodan, LMT is a Massage Therapist based in Wilton Manors, Florida. Mr Mark Edward Kochkodan is licensed to practice in Florida (license number MA31242) and his current practice location is 2415 N Dixie Hwy, Wilton Manors, Florida. He can be reached at his office (for appointments etc.) via phone at (954) 563-0001.

NPI number for Mr Mark Edward Kochkodan is 1033379029 and his current mailing address is 2415 N. Dixie Hwy, Chi Spa, Wilton Manors, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033379029.

Contact Information

Mr Mark Edward Kochkodan, LMT
2415 N Dixie Hwy,
Wilton Manors, FL 33305-2239
(954) 563-0001
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Edward Kochkodan
GenderMale
SpecialityMassage Therapist
Location2415 N Dixie Hwy, Wilton Manors, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033379029
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 11/02/2016

Medical Identifiers

Medical identifiers for Mr Mark Edward Kochkodan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033379029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MA31242 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Edward Kochkodan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Edward Kochkodan, LMT
2415 N. Dixie Hwy, Chi Spa,
Wilton Manors, FL 33305

Ph: (954) 563-0001
Mr Mark Edward Kochkodan, LMT
2415 N Dixie Hwy,
Wilton Manors, FL 33305-2239

Ph: (954) 563-0001

Reviews and Comments


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