Laurits Mikel Bensend, CERT ADVANCED ROLFER
Individual provider Active NPI Massage Therapist · Westport, CT
NPI 1306439732 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1306439732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 006454 (CT)
- Practice address
- 1071 Post Rd E
Westport, CT 06880-5364 - Phone
- (203) 216-9770
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- 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 |
|---|---|---|---|
| 006454 | CT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 006454 | CT | Yes |
Addresses
Primary practice location
1071 Post Rd E
Westport, CT 06880-5364
Mailing address
150 Harvester Rd
Fairfield, CT 06825-1125
Phone (203) 216-9770
Other providers in Westport, CT
- Maria Cristina Benedetto
- Vincent J. Benevento Jr.
- Alicia Beninati
- Wendyann Alicia Benjamin
- David K Bennett
- Cierra Benvenuti
- Johanna Berberena
- Devon Anne Bereza
- Charlotte R Berger
- Robert H. Berger
All providers in Westport, 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 Feb 17, 2021. 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.