Ms Irene Koufalis, LMT is a
Massage Therapist based in East Texas, Pennsylvania. Ms Irene Koufalis is licensed to practice in Pennsylvania (license number MSG004776) and her current practice location is
5620 East Texas Road, East Texas, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 530-2203.
NPI number for Ms Irene Koufalis is 1023507043 and her current mailing address is Po Box 367, East Texas, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023507043.
Healthcare Provider's Profile
Full Name | Ms Irene Koufalis |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5620 East Texas Road, East Texas, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023507043
- Provider Enumeration Date: 05/04/2018
- Last Update Date: 05/04/2018
Medical Identifiers
Medical identifiers for Ms Irene Koufalis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023507043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MSG004776 (Pennsylvania) | 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. Ms Irene Koufalis 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 Address | Practice Location Address |
Ms Irene Koufalis, LMT Po Box 367, East Texas, PA 18046 Ph: (610) 530-2003 | Ms Irene Koufalis, LMT 5620 East Texas Road, East Texas, PA 18046 Ph: (610) 530-2203 |
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