IRENE MARDAL LMT NPI 1396108270

NPI Information

NPI: 1396108270
Provider Name: IRENE MARDAL, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
100 REDDING RD
REDDING, CT
ZIP 06896
Phone: (203) 544-7733
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Irene Mardal, LMT is a massage therapist in Redding, CT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Irene Mardal, LMT NPI is 1396108270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 REDDING RD
REDDING, CT
ZIP 06896-236
Phone: (203) 544-7733
Fax: (203) 544-1200

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		000932	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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