Individual provider · Type 1 NPI

Casey Noller, LMT

Massage Therapist · Glastonbury, CT

NPI number 1548036841 Active

Practice location

74 New London Tpke
Glastonbury, CT 06033-4204

Call (860) 968-0715 Map

Mailing address

1 Abbott Rd Unit 190
Ellington, CT 06029-3866

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8922 (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 1548036841

Casey Noller, LMT's National Provider Identifier is 1548036841, issued on Nov 28, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glastonbury, CT. The record was last updated on Nov 28, 2023.