Waters, Tiara E
Waters, Tiara E is an individual health care provider with primary practice located at 20 Nob Hill Rd Apt A , New London CT 06320-3239. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Waters, Tiara E can be contacted via phone (860) 705-2138.Contact Information
Primary practice address
20 Nob Hill Rd Apt A
New London CT 06320-3239
Phone: (860) 705-2138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 10354 | Connecticut |
Profile Details
| NPI number | 1922740349 |
|---|---|
| LBN Legal business name | Waters, Tiara E |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2022 |
| Last updated | Apr 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922740349 | NPPES |
| Other | 1336078 | STATE |
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