Individual
DAVID GASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CLT
Contact information
Practice address
325 MAIN ST S, SOUTHBURY, CT 06488-4230
(203) 707-1013
Mailing address
13 WHITE GATE RD, OXFORD, CT 06478-1502
(203) 885-3331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009561
STATE LICENSE
CT
Enumeration date
12/03/2019
Last updated
10/27/2022
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