Provider Demographics
NPI:1033536420
Name:KOSINSKI, MARYANN (LMT)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:KOSINSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 E GIRARD AVE STE 1900
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5048
Mailing Address - Country:US
Mailing Address - Phone:720-519-7695
Mailing Address - Fax:
Practice Address - Street 1:15200 E GIRARD AVE STE 1900
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5048
Practice Address - Country:US
Practice Address - Phone:720-519-7695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004646225700000X
COMT.0001648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174400000XOther Service ProvidersSpecialist