Individual provider · Type 1 NPI
Timothy Tynan, LMT
Massage Therapist · Portland, CT
NPI number
1740096486
Active
Practice location
238 Main St
Portland, CT 06480-1861
Mailing address
38 Johnson St
Middletown, CT 06457-2225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 008487 (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 1740096486
Timothy Tynan, LMT's National Provider Identifier is 1740096486, issued on Dec 7, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, CT. The record was last updated on Dec 7, 2024.