# WELLNESS LOCKER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922479369
- **Authorized official:** DR. OLIVIA SHEA LOCKER MD (MANAGING MEMBER)
- **Authorized official phone:** (860) 481-2950

## Contact information

- **Practice address:** 554 LIBERTY HWY STE 3, PUTNAM, CT 06260-2728
- **Practice address phone:** (860) 481-2950
- **Practice address fax:** (860) 955-2740
- **Mailing address:** PO BOX 111, PUTNAM, CT 06260-0111
- **Mailing address phone:** (860) 481-2950
- **Mailing address fax:** (860) 955-2740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 53961 | CT | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/07/2026