Individual
NICHOLAS JAMES MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
74B SCHOOL ST, PUTNAM, CT 06260-2132
(860) 341-6509
Mailing address
379 ROUTE 169, WOODSTOCK, CT 06281-3038
(860) 341-6509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009893
CT
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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