Individual
TAMA C MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, ART, CKTP
Contact information
Practice address
23 RADIO PL, STAMFORD, CT 06906-2219
(203) 998-5826
Mailing address
20 BERKELEY TER, MILFORD, CT 06460-4919
(203) 747-4485
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008668
CT
Other
Enumeration date
09/29/2017
Last updated
06/11/2019
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