Mrs. Juliet L Boltz, MASSAGE THERAPIST
Mechanotherapist in Waterford, Connecticut
1396933750- Practice location
- 728 Broad Street Ext, Waterford, CT 06385-1345
- Phone
- 860-867-6450
- Fax
- 860-437-4567
- Last updated
- October 11, 2007
Juliet Lacaran Boltz is a Mechanotherapist based in Waterford, CT. Juliet Lacaran Boltz practices in Waterford, CT and has the professional credentials of MASSAGE THERAPIST. The NPI Number for Juliet Lacaran Boltz is 1396933750 and holds a License No. 002683 (CT). The current practice location address for Juliet Lacaran Boltz is 728 Broad Street Ext, Waterford, CT 06385-1345 and can be reached out via phone at 860-867-6450 and via fax at 860-437-4567.
Provider Profile Details
- NPI Number
- 1396933750
- Provider Name
- Juliet Lacaran Boltz
- Credential
- MASSAGE THERAPIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 728 Broad Street Ext, Waterford, CT 06385-1345
- Phone Number
- 860-867-6450
- Fax Number
- 860-437-4567
- Primary Taxonomy
- Mechanotherapist · 172M00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 11, 2007
- Last Update Date
- October 11, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 728 Broad Street Ext
Waterford, CT 06385-1345 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-1345
- Phone Number
- 860-867-6450
- Fax Number
- 860-437-4567
Provider Business Mailing Address Details
- Address
- 728 Broad Street Ext
Waterford, CT 06385-1345 - City
- Waterford
- State
- CT
- Zip
- 06385-1345
- Phone Number
- 860-867-6450
- Fax Number
- 860-437-4567
License Information
- License Number
- 002683
- License State
- CT
- Taxonomy
- Mechanotherapist · 172M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Juliet L Boltz, MASSAGE THERAPIST?
The NPI number of Mrs. Juliet L Boltz, MASSAGE THERAPIST is 1396933750. It was assigned on October 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Juliet L Boltz, MASSAGE THERAPIST?
Mrs. Juliet L Boltz, MASSAGE THERAPIST is registered under the primary taxonomy Mechanotherapist (code 172M00000X), licensed in CT under license number 002683.
Where does Mrs. Juliet L Boltz, MASSAGE THERAPIST practice?
The practice location is 728 Broad Street Ext, Waterford, CT 06385-1345. The office can be reached at 860-867-6450 (phone) or 860-437-4567 (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 1396933750 directly on the NPPES registry website.