Active NPIIndividual providerSole proprietor

Irene Mardal, LMT

Massage Therapist in Redding, Connecticut

NPI Number1396108270
Practice location
100 Redding RD, Redding, CT 06896-3236
Fax
203-544-1200
Last updated
March 30, 2016

Irene Mardal is a Massage Therapist based in Redding, CT. Irene Mardal practices in Redding, CT and has the professional credentials of LMT. The NPI Number for Irene Mardal is 1396108270 and holds a License No. 000932 (CT). The current practice location address for Irene Mardal is 100 Redding RD, Redding, CT 06896-3236 and can be reached out via phone at 203-544-7733 and via fax at 203-544-1200.

Provider Profile Details

NPI Number
1396108270
Provider Name
Irene Mardal
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
100 Redding RD, Redding, CT 06896-3236
Phone Number
203-544-7733
Fax Number
203-544-1200
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2016
Last Update Date
March 30, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Redding RD
Redding, CT 06896-3236
Zip
06896-3236
Phone Number
203-544-7733
Fax Number
203-544-1200
Redding, CT 06896Get directions →

Provider Business Mailing Address Details

Address
26 Wooster St
Apartment Rear
Bethel, CT 06801-1832
City
Bethel
State
CT
Zip
06801-1832
Phone Number
203-448-9184

License Information

License Number
000932
License State
CT
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Irene Mardal, LMT?

The NPI number of Irene Mardal, LMT is 1396108270. It was assigned on March 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Irene Mardal, LMT?

Irene Mardal, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 000932.

Where does Irene Mardal, LMT practice?

The practice location is 100 Redding RD, Redding, CT 06896-3236. The office can be reached at 203-544-7733 (phone) or 203-544-1200 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396108270 directly on the NPPES registry website.

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