Healthcare Provider Details

I. General information

NPI: 1548181852
Provider Name (Legal Business Name): THERAPEUTIC TOUCH MASSAGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MAIN ST STE 6
NIANTIC CT
06357-3127
US

IV. Provider business mailing address

321 MAIN ST STE 6
NIANTIC CT
06357-3127
US

V. Phone/Fax

Practice location:
  • Phone: 860-941-6343
  • Fax:
Mailing address:
  • Phone: 860-941-6343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: HOLLI NYE-PUNZALAN
Title or Position: OWNER
Credential: LMT, MMP, BAS
Phone: 860-941-6343