Individual
LAURITS MIKEL BENSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERT ADVANCED ROLFER
Contact information
Practice address
1071 POST RD E, WESTPORT, CT 06880-5364
(203) 216-9770
Mailing address
150 HARVESTER RD, FAIRFIELD, CT 06825-1125
(203) 216-9770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006454
CT
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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