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DESIRAE TABOR-BANNISTER
NPI 1174413942
Massage Therapist in Stafford Springs, CT

Active since July 03, 2025
7 COLBURN RD, STAFFORD SPRINGS, CT 06076(860) 458-8361 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desirae Tabor-bannister NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRAE TABOR-BANNISTER (NPI 1174413942) is an individual massage therapist in Stafford Springs, Connecticut, licensed in Connecticut (008402) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174413942
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDESIRAE TABOR-BANNISTER
Location Address7 COLBURN RDStafford Springs, CT 06076-3412
Mailing Address7 Colburn RdStafford Springs, CT 06076-3412
Phone(860) 458-8361
Sole ProprietorNo
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1174413942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CT · 008402
Definition
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.
7 COLBURN RD, Stafford Springs, CT 06076
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirae Tabor-bannister's NPI number?

The NPI number for Desirae Tabor-bannister is 1174413942. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Desirae Tabor-bannister located?

Desirae Tabor-bannister practices at 7 Colburn Rd, Stafford Springs, CT 06076. The listed phone number is (860) 458-8361.

What is Desirae Tabor-bannister's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Desirae Tabor-bannister was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.