Provider Demographics
NPI:1750675138
Name:ENINA, KARINA (CMT)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:ENINA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-9431
Mailing Address - Country:US
Mailing Address - Phone:269-501-4433
Mailing Address - Fax:269-345-5947
Practice Address - Street 1:3311 N 26TH ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-9431
Practice Address - Country:US
Practice Address - Phone:269-501-4433
Practice Address - Fax:269-345-5947
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist