Organization
OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GASSNER LMT, CLT (OWNER)
(203) 707-1013
Entity
Organization
Contact information
Practice address
325 MAIN ST S, SOUTHBURY, CT 06488-4230
(203) 707-1013
(203) 405-1798
Mailing address
325 MAIN ST S, SOUTHBURY, CT 06488-4230
(203) 707-1013
(203) 405-1798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009561
STATE LICENSE
CT
Enumeration date
09/25/2019
Last updated
06/09/2023
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