Individual
MS. KENYETTA W HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
51 RIVER ST, MILFORD, CT 06460-3315
(203) 818-8659
Mailing address
98 COURTLAND CIR UNIT 2, STAMFORD, CT 06902-4303
(203) 818-8659
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009668
CONNECTICUT STATE LIC
—
Enumeration date
04/26/2018
Last updated
01/18/2023
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