Organization
ATLANTIS THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANDERSON LMT (OWNER)
(860) 429-8106
Entity
Organization
Contact information
Practice address
46 KING HILL RD, STORRS MANSFIELD, CT 06268-1759
(860) 429-8106
Mailing address
PO BOX 694, STORRS MANSFIELD, CT 06268-0694
(860) 429-8106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
002104
CT
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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