NPI 1245827914

Asher Eagle

Practitioner Massage Therapist Stamford, CT

Practice location

Address: 1014 High Ridge Rd, Stamford, CT 06905-1605
Phone: (203) 570-3945
Mailing address: 82 Cove Rd, Stamford, CT 06902-5221

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 009427 (CT)

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Registry record

NPI: 1245827914
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2020
Record last updated: 28 Dec 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.