Liles, Matthew

Liles, Matthew is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Liles, Matthew can be contacted via phone (860) 714-8392.

Contact Information

Primary practice address
114 Woodland St Hartford CT 06105-1208
Phone: (860) 714-8392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8724 Connecticut

Profile Details

NPI number 1710640842
LBN Legal business name Liles, Matthew
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2021
Last updated Oct 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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