MRS. JULIET LACARAN BOLTZ


Address: 728 Broad Street Ext, Waterford, CT 06385-1345
Phone: 8608676450

MRS. JULIET LACARAN BOLTZ (NPI# 1396933750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396933750
Entity Type Individual
Full Name MRS. JULIET LACARAN BOLTZ
Credential MASSAGE THERAPIST
Practice Address 728 Broad Street Ext
Waterford
CT 06385-1345
Practice Telephone 8608676450
Practice Fax Number 8604374567
Mailing Telephone 8608676450
Mailing Fax Number 8604374567
Enumeration Date 2007-10-11
Last Update Date 2007-10-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172M00000X Mechanotherapist 002683 CT Other Service Providers

Office Location

Street Address 728 BROAD STREET EXT
City WATERFORD
State CT
Zip Code 06385-1345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609872845 Ingrid Hafenscher Feder Family Medicine 728 Broad Street Ext, Unit B, Waterford, CT 06385-1345 2005-06-22

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1750810297 Taylor Anne Tomasetti Occupational Therapist 24 Doyle Rd, Waterford, CT 06385 2017-06-08
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1861876211 Mallory Rose Devona Counselor 2 Leary Dr, Waterford, CT 06385 2015-07-15
1336571843 Carrie M Reynolds Surgery 5 Scenic View Dr, Waterford, CT 06385 2013-08-07
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Taxonomy Information

Taxonomy Code 172M00000X
Grouping Other Service Providers
Classification Mechanotherapist

Taxonomy Definition

A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952660854 Kris Best Mechanotherapist 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 2012-05-11
1528349404 Smokey Regan Mechanotherapist 57 Mistywood Ln, Naugatuck, CT 06770-1529 2011-09-06
1346545670 Lucille Wymer Hartman Mechanotherapist 1775 Boston Post Road, Old Saybrook, CT 06475 2011-01-18
1104153733 Elizabeth Ann Limkemann Mechanotherapist 129 Flanders Rd, Mystic, CT 06355-1505 2009-11-03
1245461607 Leslie P Amatrudo Mechanotherapist 60 Augur Road Ext, Northford, CT 06472-1511 2009-08-04
1093262396 Daniel Stroup IIi Mechanotherapist 35 River Rd, Cos Cob, CT 06807-2759 2016-09-02
1598109563 Melanie Morrissette Mechanotherapist 46 King Hill Rd, Storrs, CT 06268-1759 2013-04-22
1578805511 Marlene B Aulten Mechanotherapist 46 King Hill Rd, Post Office Box 694, Storrs, CT 06268-1759 2013-03-16
1023323540 Gail Popoff Mechanotherapist 8 Davis Rd W, Old Lyme, CT 06371-1448 2010-08-09
1336463819 Ludwight L. Rigueur Mechanotherapist 555 Summer St, Stamford, CT 06901-1413 2010-03-26
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Competitor

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City WATERFORD
Zip Code 06385

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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