Individual provider · Type 1 NPI

Jenna Russell Dallinga, LMT

Specialist · Danbury, CT

NPI number 1053687715 Active

Practice location

40 Lake Avenue Ext
Danbury, CT 06811-5283

Call (845) 612-9849 Map

Mailing address

103 Harvest Dr
Brewster, NY 10509-3706

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X005456 (CT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053687715

Jenna Russell Dallinga, LMT's National Provider Identifier is 1053687715, issued on Mar 27, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Danbury, CT. The record was last updated on Mar 27, 2012.