Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desirae Tabor-Bannister

Individual provider Massage Therapist · NPI 1174413942

Desirae Tabor-Bannister is a Massage Therapist in Stafford Springs, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

7 Colburn Rd
Stafford Springs, CT 06076-3412
Phone: (860) 458-8361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 008402 (CT)

Record details

NPI number1174413942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025