Individual provider · Type 1 NPI

Lisamarie Boncek, LMT

Massage Therapist · East Haven, CT

NPI number 1265144158 Active

Practice location

75 Redwood Dr Unit 904
East Haven, CT 06513-1976

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11103 (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 1265144158

Lisamarie Boncek, LMT's National Provider Identifier is 1265144158, issued on Dec 22, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Haven, CT. The record was last updated on Dec 22, 2022.