MR. EDWARD GOLL LMT MLD NPI 1952890741

NPI Information

  • NPI: 1952890741
  • Provider Name: MR. EDWARD GOLL, LMT, MLD
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 148 WATERMAN ST
    PROVIDENCE, RI
    ZIP 02906
  • Phone: (401) 861-1070

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NPI Details

MR. Edward Goll, LMT, MLD is a massage therapist in Providence, 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. MR. Edward Goll, LMT, MLD NPI is 1952890741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

148 WATERMAN ST
PROVIDENCE, RI
ZIP 02906-130
Phone: (401) 861-1070

The enumeration date for this NPI number is 5/7/2018 and was last updated on 5/7/2018.

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 TherapistMT01564RHODE 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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