Ian Smolinsky, LMT, EMT-P
Massage Therapist in Orange, CT. Individual provider (NPI-1).
NPI number1497417075
StatusActive
Last updated in NPPESOct 11, 2021
Details
- NPI
- 1497417075
- Entity type
- Individual (NPI-1)
- Name
- Ian Smolinsky
- Credential
- LMT, EMT-P
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2021
- Certification date
- Oct 11, 2021
- Last updated
- Oct 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 10425 | CT | Yes |
| 146L00000X | Emergency Medical Technician, Paramedic | 2173 | CT | |
| 225700000X | Massage Therapist | 16732 | MA |
Practice location
663 Orange Center Rd Unit 2Orange, CT 06477-2400
Phone 475-731-8279
Mailing address
663 Orange Center Rd Unit 2Orange, CT 06477-2400
Phone 475-731-8279
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