Brittany Balducci
Individual provider Active NPI Massage Therapist · Shelton, CT
NPI 1003538547 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1003538547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 10934 (CT)
- Practice address
- 1000 Bridgeport Ave
Shelton, CT 06484-4660 - Phone
- (203) 802-9802
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10934 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10934 | CT | Yes |
Addresses
Primary practice location
1000 Bridgeport Ave
Shelton, CT 06484-4660
Mailing address
2926 Old Town Rd
Bridgeport, CT 06606-1244
Phone (718) 795-8494
Other practice location 1
2926 Old Town Rd
Bridgeport, CT 06606-1244
Phone (718) 795-8494
Other providers in Shelton, CT
- Piotr Waldemar Baginski
- Gerald Patrick Bailey
- Angela Fay Baker
- Bharvi Ashok Balar
- Fabiola Sara Balarezo
- Beth A Balko
- Jillian Ingrid Ball
- Dammy Bamisile
- Foluke R Bamisile
- Grace Dolores Bandow
All providers in Shelton, CT · Massage Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.