Express Yourself CT, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

006229 Issued in CT

Legal business name

EXPRESS YOURSELF CT, LLC

Doing business as

The Back Rub Massage Center

Practice address

82 Burnside Ave
Rear
East Hartford, CT 06108-3413

Phone

(203) 660-8016

Fax

(860) 578-9007

NPI assigned

Jun 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sylvia Denise Reid, ESQ

Title

Managing Member

Phone

(203) 660-8016

Specialties & licenses 1

Addresses

Other names 1

• The Back Rub Massage Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1033472162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BURNSIDE AVE",
            "address_2": "REAR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083413",
            "telephone_number": "203-660-8016",
            "fax_number": "860-578-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BURNSIDE AVE",
            "address_2": "REAR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083413",
            "telephone_number": "203-660-8016",
            "fax_number": "860-578-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS YOURSELF CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-660-8016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": "006229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back Rub Massage Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Case Management Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.