Staak, Sakura

Staak, Sakura is an sole proprietor health care provider with primary practice located at 2030 Straits Tpke Ste 3 , Middlebury CT 06762-1831. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Dietary & Nutritional Service Providers / Nutrition, Education. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Staak, Sakura can be contacted via phone (203) 685-8222.

Contact Information

Primary practice address
2030 Straits Tpke Ste 3 Middlebury CT 06762-1831
Phone: (203) 685-8222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8961 Connecticut
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Connecticut

Profile Details

NPI number 1740751569
LBN Legal business name Staak, Sakura
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2018
Last updated Jan 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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