Active NPIIndividual providerSole proprietor

Susan Backman, MT, CMLDT

Massage Therapist in Bethel, Connecticut

NPI Number1891240339
Practice location
5 Birch Dr Ste A, Bethel, CT 06801-1002
Fax
—
Last updated
January 28, 2020

Susan Backman is a Massage Therapist based in Bethel, CT. Susan Backman practices in Bethel, CT and has the professional credentials of MT, CMLDT. The NPI Number for Susan Backman is 1891240339 and holds a License No. 003195 (CT). The current practice location address for Susan Backman is 5 Birch Dr Ste A, Bethel, CT 06801-1002 and can be reached out via phone at 203-797-9393.

Provider Profile Details

NPI Number
1891240339
Provider Name
Susan Backman
Credential
MT, CMLDT
Provider Entity Type
Individual
Gender
Female
Address
5 Birch Dr Ste A, Bethel, CT 06801-1002
Phone Number
203-797-9393
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2016
Last Update Date
January 28, 2020
Certification Date
January 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Birch Dr Ste A
Bethel, CT 06801-1002
City
Bethel
Zip
06801-1002
Phone Number
203-797-9393
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
5 Birch Dr Ste A
Bethel, CT 06801-1002
City
Bethel
State
CT
Zip
06801-1002
Phone Number
203-797-9393

License Information

License Number
003195
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 Susan Backman, MT, CMLDT?

The NPI number of Susan Backman, MT, CMLDT is 1891240339. It was assigned on August 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Susan Backman, MT, CMLDT?

Susan Backman, MT, CMLDT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 003195.

Where does Susan Backman, MT, CMLDT practice?

The practice location is 5 Birch Dr Ste A, Bethel, CT 06801-1002. The office can be reached at 203-797-9393 (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 1891240339 directly on the NPPES registry website.

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