Individual provider · Type 1 NPI
Migdalia Gordon, LMT
Massage Therapist · Ansonia, CT
NPI number
1619714342
Active
Practice location
14 W Roosevelt Dr
Ansonia, CT 06401-1328
Mailing address
115 Main St
Seymour, CT 06483-3166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 004417 (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.
About NPI 1619714342
Migdalia Gordon, LMT's National Provider Identifier is 1619714342, issued on Jul 10, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ansonia, CT. The record was last updated on Jul 10, 2024.