Individual
IVETTE NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
177 POST RD W STE 2, WESTPORT, CT 06880-4652
(203) 521-5033
Mailing address
177 POST RD W, WESTPORT, CT 06880-4652
(203) 521-5033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006967
CT
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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