Nicholas Houghton
Individual provider Active NPI Massage Therapist · Gales Ferry, CT
NPI 1700480779 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1700480779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 002130 (CT)
- Practice address
- 23 Winthrop Rd
Gales Ferry, CT 06335-1449 - Phone
- (203) 709-0432
- NPI assigned
- Nov 30, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002130 | CT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 002130 | CT | Yes |
Addresses
Primary practice location
23 Winthrop Rd
Gales Ferry, CT 06335-1449
Mailing address
23 Winthrop Rd
Gales Ferry, CT 06335-1449
Phone (203) 709-0432
Other providers in Gales Ferry, CT
- Randall D. Harris
- Marie Antointeet Healy
- John Joseph Hennessey
- Holistic Mental Wellness Therapy
- Phyllis A. Holtzman
- Naomi Hutchins
- Sarah Hafeez Ilahi
- Jeanette Jezick
- Barbara Kidala
- Meghan E Lamoureux
All providers in Gales Ferry, 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 Nov 30, 2020. 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.