Active NPIIndividual providerSole proprietor

Khalaf Jerry

Massage Therapist in Norwalk, Connecticut

NPI Number1457968075
Practice location
180 N Taylor Ave, Norwalk, CT 06854-1118
Fax
—
Last updated
September 28, 2020

Khalaf Jerry is a Massage Therapist based in Norwalk, CT. Khalaf Jerry practices in Norwalk, CT. The NPI Number for Khalaf Jerry is 1457968075 and holds a License No. 009421 (CT). The current practice location address for Khalaf Jerry is 180 N Taylor Ave, Norwalk, CT 06854-1118 and can be reached out via phone at 203-822-1787.

Provider Profile Details

NPI Number
1457968075
Provider Name
Khalaf Jerry
Provider Entity Type
Individual
Gender
Male
Address
180 N Taylor Ave, Norwalk, CT 06854-1118
Phone Number
203-822-1787
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2020
Last Update Date
September 28, 2020
Certification Date
September 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 N Taylor Ave
Norwalk, CT 06854-1118
Zip
06854-1118
Phone Number
203-822-1787
Norwalk, CT 06854Get directions →

Provider Business Mailing Address Details

Address
180 N Taylor Ave
Norwalk, CT 06854-1118
City
Norwalk
State
CT
Zip
06854-1118
Phone Number
203-822-1787

License Information

License Number
009421
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 Khalaf Jerry?

The NPI number of Khalaf Jerry is 1457968075. It was assigned on September 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Khalaf Jerry?

Khalaf Jerry is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 009421.

Where does Khalaf Jerry practice?

The practice location is 180 N Taylor Ave, Norwalk, CT 06854-1118. The office can be reached at 203-822-1787 (phone).

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 1457968075 directly on the NPPES registry website.

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