NPI 1053918755

Nuttaya Moran

Practitioner Massage Therapist Greenwich, CT

Practice location

Address: 49 Greenwich Ave 2nd Floor, Greenwich, CT 06830
Phone: (682) 628-9514
Mailing address: 79 Pleasant Ridge Rd, Poughquag, NY 12570

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 9577 (CT)

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Registry record

NPI: 1053918755
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2020
Record last updated: 6 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.