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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