NPI 1306216395

Evan James Piasecki, LMT

Practitioner Massage Therapist Newington, CT

Practice location

Address: 100 Market Sq Suite 1, Newington, CT 06111-2921
Phone: (860) 770-0954

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 007224 (CT)

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Registry record

NPI: 1306216395
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2015
Record last updated: 2 Oct 2015

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.