Individual provider · Type 1 NPI
Jordan Rastegar, LMT
Massage Therapist · Stamford, CT
NPI number
1861334476
Active
Practice location
35 Lumanor Dr
Stamford, CT 06903-5020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 011577 (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 1861334476
Jordan Rastegar, LMT's National Provider Identifier is 1861334476, issued on Apr 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stamford, CT. The record was last updated on Apr 6, 2026.