KHALAF JERRY NPI 1457968075

NPI Information

  • NPI: 1457968075
  • Provider Name: KHALAF JERRY
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 180 N TAYLOR AVE
    NORWALK, CT
    ZIP 06854
  • Phone: (203) 822-1787

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NPI Details

Khalaf Jerry is a massage therapist in Norwalk, CT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Khalaf Jerry NPI is 1457968075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

180 N TAYLOR AVE
NORWALK, CT
ZIP 06854-118
Phone: (203) 822-1787

The enumeration date for this NPI number is 9/28/2020 and was last updated on 9/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist009421CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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