Provider Demographics
NPI:1851195887
Name:HASTY, LASHAWNTA S (LMT)
Entity type:Individual
Prefix:
First Name:LASHAWNTA
Middle Name:S
Last Name:HASTY
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MCKINLEY AVE # A
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-7224
Mailing Address - Country:US
Mailing Address - Phone:203-606-1034
Mailing Address - Fax:
Practice Address - Street 1:2083 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-6319
Practice Address - Country:US
Practice Address - Phone:203-606-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist