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Contact Information

JULIET L BOLTZ, MASSAGE THERAPIST
728 BROAD STREET EXT
WATERFORD, CT06385-1345
 Phone: 860-867-6450
 Fax: 860-437-4567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JULIET L BOLTZ · (Female)

NPI Number 1396933750
Status Active
Credentials MASSAGE THERAPIST
Entity Individual
Enumeration date 10/11/2007
Last updated 10/11/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002683
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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