Individual provider · Type 1 NPI

Khalaf Jerry

Massage Therapist · Norwalk, CT

NPI number 1457968075 Active

Practice location

180 N Taylor Ave
Norwalk, CT 06854-1118

Call (203) 822-1787 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X009421 (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 1457968075

Khalaf Jerry's National Provider Identifier is 1457968075, issued on Sep 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Norwalk, CT. The record was last updated on Sep 28, 2020.