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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NPI Details

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 Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT01801RHODE ISLANDNo
2225700000XMassage TherapistMT01765RHODE ISLANDNo
3225700000XMassage TherapistMT01476RHODE ISLANDYes

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: 11/21/2025

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