Individual provider · Type 1 NPI

Eileen Correia-Depaola, L.M.T

Massage Therapist · Waterbury, CT

NPI number 1245520220 Active

Practice location

140 Grandview Ave, Suite 104
Waterbury, CT 06708-2505

Mailing address

35 Baldwin Ave
Waterbury, CT 06706-1818

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0006424 (CT)
Nurse's Aide 376K00000X9995656 (CT)

Massage Therapist: 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.

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About NPI 1245520220

Eileen Correia-Depaola, L.M.T's National Provider Identifier is 1245520220, issued on Apr 12, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waterbury, CT. The record was last updated on Apr 12, 2011.