Merlyn Bonilla, LMT
Massage Therapist in Glastonbury, CT. Individual provider (NPI-1).
NPI number1376265264
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1376265264
- Entity type
- Individual (NPI-1)
- Name
- Merlyn Bonilla
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 11012 | CT | Yes |
Practice location
730 Hebron Ave Ste 3Glastonbury, CT 06033-5016
Phone 860-410-4490 · Fax 860-410-4492
Mailing address
730 Hebron Ave Ste 3Glastonbury, CT 06033-5016
Phone 860-410-4490 · Fax 860-410-4492
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All 21 Massage Therapist providers in Glastonbury · All 1,367 providers in Glastonbury
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