Doctor Name: | MS. KERRY LEE METHOT |
NPI Number: | 1811906837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 000350 |
Business Practice Address: | 545 Hartford Turnpike Dayville, CT - 06241 |
Business Phone Number: | 8607790150 |
Business Fax Number: | 8607742371 |
Mailing Address: | 150 Otrobando Avenue, NORWICH |
State: | CT |
Postal Code: | 06360 |
Phone Number: | 8608891948 |
Fax Number: | 8608891101 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 000350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |