MRS. Lani Dove Roth, LMT

NPI #1629345475 in South Windsor, Connecticut

Provider Information

NPI Number: 1629345475
Entity Type: Individual
Name: MRS. Lani Dove Roth, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 2011

Practice Location

Address: 1735 ELLINGTON RD
City: South Windsor
State: Connecticut
ZIP Code: 06074-2719
Phone: (860) 268-1367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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