Massage Therapy Reimbursement  It is also found under “Forms” on the Allegiant Care website; or you may call Allegiant Care at (603) 669-4771 or 1-800-258-9732, extension 221 and request the form

NOTE: The form cannot be completed online. You must print the form, and mail it to: Attn: Massage Department, Northern New England Benefit Trust, PO Box 4604, Manchester, NH 03108.

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Toll Free: 800.258.9732
Local: 603.669.4771
Fax: 603.666.4477

Allegiant Care
51 Goffstown Road
P.O. Box 4604
Manchester, NH 03108

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