NPI 1063702892

John S Wells Jr, LMT

Practitioner Massage Therapist New Canaan, CT

Practice location

Address: 42 Vitti St, New Canaan, CT 06840-4823
Phone: (203) 509-2799

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 004644 (CT)

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Registry record

NPI: 1063702892
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2011
Record last updated: 13 Apr 2011

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.