Individual provider · Type 1 NPI
Krista Derosa
Nurse Massage Therapist (NMT) · Middlebury, CT
NPI number
1245696798
Active
Practice location
590 Middlebury Rd
Middlebury, CT 06762-2562
Mailing address
177 Front St
Middletown, CT 06457-4464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 128313 (CT) |
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | 006291 (CT) |
Nurse Massage Therapist (NMT): Definition to come...
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About NPI 1245696798
Krista Derosa's National Provider Identifier is 1245696798, issued on Jan 13, 2016. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Middlebury, CT. The record was last updated on Jan 13, 2016.