Individual provider · Type 1 NPI

Robert Gardner, LMT

Massage Therapist · Wolcott, CT

NPI number 1689285942 Active

Practice location

444 Wolcott Rd
Wolcott, CT 06716-2639

Fax (203) 879-4696

Mailing address

305 S Eagle St
Terryville, CT 06786-6705

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X002617 (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 1689285942

Robert Gardner, LMT's National Provider Identifier is 1689285942, issued on Aug 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wolcott, CT. The record was last updated on Aug 11, 2020.