TIMOTHY TYNAN LMT
NPI 1740096486
Massage Therapist in Portland, CT

Active since December 07, 2024
238 MAIN ST, PORTLAND, CT 06480(860) 458-3826 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Massage Therapist

About TIMOTHY TYNAN

This page provides the complete NPI Profile along with additional information for Timothy Tynan, a provider established in Portland, Connecticut with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1740096486 assigned on December 2024. The practitioner's primary taxonomy code is 225700000X with license number 008487 (CT). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1740096486 Verify this NPI
Provider Name
TIMOTHY TYNAN LMT
Gender
Male
Entity Type
Individual
Location Address
238 MAIN ST PORTLAND, CT 06480
Location Phone
(860) 458-3826
Mailing Address
38 JOHNSON ST MIDDLETOWN, CT 06457
Is Sole Proprietor?
No
Enumeration Date
12-07-2024
Last Update Date
12-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
008487
License State
CT
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740096486, enumerated as an "individual" on December 07, 2024.

The provider is located at 238 MAIN ST PORTLAND, CT 06480 and the phone number is (860) 458-3826.

Massage Therapist with taxonomy code 225700000X.