Leah Anderson

Individual provider Active NPI Massage Therapist · Rocky Hill, CT

NPI 1033834205 · NPPES record last updated Oct 10, 2022

Key facts

NPI
1033834205
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
07464 (CT)
Practice address
502 Meyers Dr
Rocky Hill, CT 06067-2663
Phone
(860) 878-8300
NPI assigned
Oct 10, 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

LicenseStateTypeSpecialty
07464CTMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 07464 CT Yes

Addresses

Primary practice location

502 Meyers Dr
Rocky Hill, CT 06067-2663

Mailing address

502 Meyers Dr
Rocky Hill, CT 06067-2663

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Massage Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.