Organization
BODY BALANCE THERAPEUTIC MASSAGE
Active
Organization
BODY BALANCE THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LEA LAONE LMT (OWNER, LICENSE MASSAGED THERAPIST)
(860) 621-0061
Entity
Organization
Contact information
Practice address
17 MERIDEN AVE, SOUTHINGTON, CT 06489-3227
(860) 621-0061
(860) 621-0061
Mailing address
17 MERIDEN AVE, SOUTHINGTON, CT 06489-3227
(860) 621-0061
(860) 621-0061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
002078
CT
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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