Individual
JONATHAN G. TUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT, CKTP
Contact information
Practice address
22 MARJORIE ST, MYSTIC, CT 06355-3626
(860) 326-6034
Mailing address
22 MARJORIE ST, MYSTIC, CT 06355-3626
(860) 326-6034
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
XXXXXX
CT
208VP0014X
Interventional Pain Medicine Physician
XXXXXX
CT
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
Primary
004158
CT
225700000X
Massage Therapist
MA79049
FL
225700000X
Massage Therapist
MT01411
RI
Other
Enumeration date
06/23/2010
Last updated
10/08/2019
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