MS. LORRAINE DIANE JOLLY LMT NPI 1366697955

NPI Information

NPI: 1366697955
Provider Name: MS. LORRAINE DIANE JOLLY, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
16 MIDWOOD AVE
WATERBURY, CT
ZIP 06708
Phone: (203) 591-1938
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MS. Lorraine Diane Jolly, LMT is a massage therapist in Waterbury, 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. MS. Lorraine Diane Jolly, LMT NPI is 1366697955. 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:

16 MIDWOOD AVE
WATERBURY, CT
ZIP 06708-431
Phone: (203) 591-1938

The enumeration date for this NPI number is 11/24/2008 and was last updated on 11/24/2008.

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		004166	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: 11/14/2023

NPI Synchronization or Removal

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