Provider Demographics
NPI:1144000886
Name:KOPROSKI, THAIS (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:THAIS
Middle Name:
Last Name:KOPROSKI
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:THAIS
Other - Middle Name:GOMES ESTEVAM
Other - Last Name:PEQUENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3106 STEARNS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7110
Mailing Address - Country:US
Mailing Address - Phone:781-800-3310
Mailing Address - Fax:
Practice Address - Street 1:3106 STEARNS HILL RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7110
Practice Address - Country:US
Practice Address - Phone:781-800-3310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171400000XOther Service ProvidersHealth & Wellness Coach
No174N00000XOther Service ProvidersLactation Consultant, Non-RN