Kakouris, Jimmy

Kakouris, Jimmy is an individual health care provider with primary practice located at 81 Shrewsbury St Ste 1 , Boylston MA 01505-1701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kakouris, Jimmy can be contacted via phone (774) 614-1322.

Contact Information

Primary practice address
81 Shrewsbury St Ste 1 Boylston MA 01505-1701
Phone: (774) 614-1322
Fax: (774) 614-1171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18231 Massachusetts

Profile Details

NPI number 1306057146
LBN Legal business name Kakouris, Jimmy
Credentials PT, DPT. CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Aug 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306057146 NPPES
Massachusetts Other 18231 STATE LICENSE

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