Individual provider · Type 1 NPI

Glenn Breda, LMT

Massage Therapist · Bridgeport, CT

NPI number 1558035196 Active

Practice location

850 Atlantic St Unit 301
Bridgeport, CT 06604-5269

Call (203) 953-2722 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000X001456 (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 1558035196

Glenn Breda, LMT's National Provider Identifier is 1558035196, issued on Aug 6, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 6, 2021.