Individual provider · Type 1 NPI
Mark Mirabella Jr., LMT
Massage Therapist · Wallingford, CT
NPI number
1508534504
Active
Practice location
168 N Main St # 3
Wallingford, CT 06492-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8809 (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.
Other massage therapist providers in Wallingford
About NPI 1508534504
Mark Mirabella Jr., LMT's National Provider Identifier is 1508534504, issued on Sep 2, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wallingford, CT. The record was last updated on Sep 2, 2021.