WEST SIDE WELLNESS LLC NPI 1417215690

NPI Information

NPI: 1417215690
Provider Name: WEST SIDE WELLNESS, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
376 WEST FOUNTAIN STREET
PROVINCE, RI
ZIP 02903
Phone: (401) 274-2225
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WEST SIDE WELLNESS, LLC is a massage therapist in Province, RI. The provider is 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. WEST SIDE WELLNESS, LLC NPI is 1417215690. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

376 WEST FOUNTAIN STREET
PROVINCE, RI
ZIP 02903
Phone: (401) 274-2225
Fax: (401) 274-2228

The provider's authorized official is Jennifer Rita Raimondi .
The authorized official title is Owner and has the following contact phone number (401) 274-2225.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 10/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	225700000X	Massage Therapist	MT01801	RHODE ISLAND	No
2	225700000X	Massage Therapist	MT01765	RHODE ISLAND	No
3	225700000X	Massage Therapist	MT01476	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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