Individual
NATWADEE RATTANASRIAMPIPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
49 GREENWICH AVE, GREENWICH, CT 06830-5523
(682) 628-9514
Mailing address
49 GREENWICH AVE, GREENWICH, CT 06830-5523
(682) 628-9514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007710
CT
225700000X
Massage Therapist
027189
NY
Other
Enumeration date
11/28/2018
Last updated
10/20/2020
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