| Just Breathe Connecticut Llc | |
|
420 Somers Rd Ellington CT 06029-2629 | |
| (860) 255-4475 | |
| Not Available |
| Full Name | Just Breathe Connecticut Llc |
|---|---|
| Speciality | Social Worker |
| Location | 420 Somers Rd, Ellington, Connecticut |
| Authorized Official Name and Position | Kerry Lynn Tuttle (OWNER) |
| Authorized Official Contact | 8602554475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Breathe Connecticut Llc 420 Somers Rd Ellington CT 06029-2629 Ph: (860) 255-4475 | Just Breathe Connecticut Llc 420 Somers Rd Ellington CT 06029-2629 Ph: (860) 255-4475 |
| NPI Number | 1821420977 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Medicare PECOS PAC ID | 8921408071 |
|---|---|
| Medicare Enrollment ID | O20210611001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821420977 | NPI | - | NPPES |
| Provider Name | Kerry Lynn Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518270446 PECOS PAC ID: 8729104898 Enrollment ID: I20100927000082 |
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