Body Balance Therapeutic Massage

Organization Active NPI Massage Therapist · Southington, CT

NPI 1760760680 · NPPES record last updated Jul 26, 2011

Key facts

NPI
1760760680
Entity type
Organization (NPI type 2)
Primary specialty
Massage Therapist 225700000X
License
002078 (CT)
Legal business name
BODY BALANCE THERAPEUTIC MASSAGE
Practice address
17 Meriden Ave
Southington, CT 06489-3227
Phone
(860) 621-0061
Fax
(860) 621-0061
NPI assigned
Jul 26, 2011
Organization subpart
No

Authorized official

Name
Mrs. Kelly Lea Laone, LMT
Title
Owner, License Massaged Therapist
Phone
(860) 621-0061

National Provider Directory

Locations

17 Meriden Ave
Southington, CT 06489
Phone (860) 919-1589

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225700000X 002078 CT Yes

Addresses

Primary practice location

17 Meriden Ave
Southington, CT 06489-3227

Mailing address

17 Meriden Ave
Southington, CT 06489-3227
Phone (860) 621-0061

Other providers in Southington, CT

All providers in Southington, CT · Massage Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.