Organization
MASSAGE AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BOYER (OWNER)
(203) 939-9319
Entity
Organization
Contact information
Practice address
83 EAST AVE, SUITE 310, NORWALK, CT 06851-4902
(203) 939-9319
Mailing address
83 EAST AVE, SUITE 310, NORWALK, CT 06851-4902
(203) 939-9319
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
T58152
CT
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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