IndividualActive
Max Koivisto, NRAEMT
NPI 1194507772 · Intermediate Emergency Medical Technician · Becket, MA
Provider details
- NPI number
- 1194507772
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- NRAEMT
- Sex
- Male
- Sole proprietor
- No
- License
- A0900516 (MA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
629 Jacobs Ladder Road
Becket, MA 01223
Phone: (413) 623-5027
Fax: (413) 623-2062
Approximate (ZIP-level) locationGet directions
Mailing address
557 Main St
Becket, MA 01223-3252
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-10-18
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.