Dionna Altayr, LMT,MMP

Individual provider Active NPI Massage Therapist · Southington, CT

NPI 1104711506 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1104711506
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
10070 (CT)
Practice address
963 Queen St Ste E
Southington, CT 06489-1282
Phone
(860) 849-4119
NPI assigned
Jun 9, 2025
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
10070CTMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10070 CT Yes

Addresses

Primary practice location

963 Queen St Ste E
Southington, CT 06489-1282

Mailing address

963 Queen St Ste E
Southington, CT 06489-1282
Phone (860) 849-4119

Other providers in Southington, CT

All providers in Southington, CT · Massage Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.