NPI 1134963218

Portia Brantley, LMT

Practitioner Massage Therapist Bridgeport, CT

Practice location

Address: 1000 Lafayette Blvd # 1107, Bridgeport, CT 06604-4725
Phone: (203) 727-5368
Mailing address: 270 Platt St, Bridgeport, CT 06606-2945

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11341 (CT)

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Registry record

NPI: 1134963218
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 2024

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.