OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC NPI 1699326298

NPI Information

NPI: 1699326298
Provider Name: OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
325 MAIN ST S
SOUTHBURY, CT
ZIP 06488
Phone: (203) 707-1013
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OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC is a massage therapist in Southbury, 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. OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC NPI is 1699326298. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

325 MAIN ST S
SOUTHBURY, CT
ZIP 06488-230
Phone: (203) 707-1013
Fax: (203) 405-1798

The provider's authorized official is David Gassner .
The authorized official title is Owner and has the following contact phone number (203) 707-1013.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 6/9/2023.

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				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009561	OTHER	CONNECTICUT	STATE LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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