MS. PATTYA JEAN GANJANATHAVAT (NPI# 1619486073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619486073 |
| Entity Type | Individual |
| Full Name | MS. PATTYA JEAN GANJANATHAVAT |
| Credential | LMT |
| Practice Address |
163 Broad St Milford CT 06460-4726 |
| Mailing Address |
303r Isinglass Rd Shelton CT 06484-5708 |
| Practice Telephone | 2035139594 |
| Mailing Telephone | 4056130731 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9711 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
163 BROAD ST |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991848 | Jillian Alexandra Marchenko | Massage Therapist | 43 Beachland Ave, Milford, CT 06460-7409 | 2020-10-28 |
| 1659809960 | W. Scott Blackson | Massage Therapist | 215 N Rehoboth Blvd, Milford, DE 19963-1303 | 2017-05-31 |
| 1114469202 | Jeremy Dickerson | Massage Therapist | 5995 Williamsville Rd, Milford, DE 19963-6314 | 2016-11-07 |
| 1518322742 | Jenny L Chiapparelli | Massage Therapist | 501 Broad St Ste 1, Milford, PA 18337-1532 | 2015-12-14 |
| 1063886547 | Sara Mcginnis | Massage Therapist | 335 E Huron St, Milford, MI 48381-2352 | 2015-11-20 |
| 1174991426 | Rose Napoli | Massage Therapist | 35 Earle St, Milford, CT 06460-7623 | 2015-09-03 |
| 1841695434 | Christi Keaveny | Massage Therapist | 800 N Milford Rd, Ste. 600, Milford, MI 48381-1597 | 2014-10-26 |
| 1508271735 | Lynn Thal | Massage Therapist | 962 Lila Ave, Milford, OH 45150-1683 | 2014-06-26 |
| 1598175291 | Paige Lauren Deiner | Massage Therapist | 626 Nw Front St, Milford, DE 19963-1033 | 2014-05-02 |
| 1154754919 | Christopher John Deldin | Massage Therapist | 64 Essex Dr, Milford, CT 06460-3811 | 2013-08-15 |
| Find all providers in MILFORD | ||||
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| 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.