Individual provider · Type 1 NPI

Lorraine Diane Jolly, LMT

Massage Therapist · Waterbury, CT

NPI number 1366697955 Active

Practice location

16 Midwood Ave
Waterbury, CT 06708-2431

Call (203) 591-1938 Map

Mailing address

PO Box 1160
Middlebury, CT 06762-1160

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X004166 (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 1366697955

Lorraine Diane Jolly, LMT's National Provider Identifier is 1366697955, issued on Nov 24, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waterbury, CT. The record was last updated on Nov 24, 2008.