Individual
CASEY NOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
74 NEW LONDON TPKE, GLASTONBURY, CT 06033-4204
(860) 968-0715
Mailing address
1 ABBOTT RD UNIT 190, ELLINGTON, CT 06029-3866
(860) 268-0855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8922
CT
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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