Individual
KRISTINE MARIE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
41 CRESTVIEW DR, WATERTOWN, CT 06795-1814
(203) 695-2970
Mailing address
41 CRESTVIEW DR, WATERTOWN, CT 06795-1814
(203) 695-2970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8409
CT
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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