Ms. Pattya J Ganjanathavat, LMT
Massage Therapist in Milford, Connecticut
1619486073- Practice location
- 163 Broad St, Milford, CT 06460-4726
- Phone
- 203-513-9594
- Fax
- —
- Last updated
- September 28, 2017
Pattya Jean Ganjanathavat is a Massage Therapist based in Milford, CT. Pattya Jean Ganjanathavat practices in Milford, CT and has the professional credentials of LMT. The NPI Number for Pattya Jean Ganjanathavat is 1619486073 and holds a License No. 9711 (CT). The current practice location address for Pattya Jean Ganjanathavat is 163 Broad St, Milford, CT 06460-4726 and can be reached out via phone at 203-513-9594.
Provider Profile Details
- NPI Number
- 1619486073
- Provider Name
- Pattya Jean Ganjanathavat
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 163 Broad St, Milford, CT 06460-4726
- Phone Number
- 203-513-9594
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 28, 2017
- Last Update Date
- September 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Broad St
Milford, CT 06460-4726 - City
- Milford
- State
- Connecticut
- Zip
- 06460-4726
- Phone Number
- 203-513-9594
Provider Business Mailing Address Details
- Address
- 303R Isinglass RD
Shelton, CT 06484-5708 - City
- Shelton
- State
- CT
- Zip
- 06484-5708
- Phone Number
- 405-613-0731
License Information
- License Number
- 9711
- License State
- CT
- Taxonomy
- Massage Therapist · 225700000X · 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 Ms. Pattya J Ganjanathavat, LMT?
The NPI number of Ms. Pattya J Ganjanathavat, LMT is 1619486073. It was assigned on September 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Pattya J Ganjanathavat, LMT?
Ms. Pattya J Ganjanathavat, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 9711.
Where does Ms. Pattya J Ganjanathavat, LMT practice?
The practice location is 163 Broad St, Milford, CT 06460-4726. The office can be reached at 203-513-9594 (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 1619486073 directly on the NPPES registry website.