Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Stanislav Kononov, LMT

Individual provider Massage Therapist · NPI 1922748169

Mr. Stanislav Kononov, LMT is a Massage Therapist in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5215 N Ironwood Rd Ste 104
Glendale, WI 53217-4908
Phone: (414) 334-1023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 3048-146 (WI)

Record details

NPI number1922748169
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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