James Burgess, LMT

Individual provider Active NPI Massage Therapist · Durham, CT

NPI 1124199575 · NPPES record last updated Aug 19, 2014

Key facts

NPI
1124199575
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
1967 (CT)
Practice address
26 Wheeler Hill Dr
Durham, CT 06422-1605
Phone
(860) 349-4325
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1967 CT Yes

Addresses

Primary practice location

26 Wheeler Hill Dr
Durham, CT 06422-1605

Mailing address

26 Wheeler Hill Dr
Durham, CT 06422-1605
Phone (860) 349-4325

Other providers in Durham, CT

All providers in Durham, CT · Massage Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.