Ellen I Jaedicke, LMT, NCTMB, AA
Massage Therapist in Coventry, Rhode Island
1285877811- Practice location
- 137 Sandy Bottom RD, Coventry, RI 02816-5865
- Phone
- 401-822-3676
- Fax
- 401-826-1127
- Last updated
- April 13, 2009
Ellen I Jaedicke is a Massage Therapist based in Coventry, RI. Ellen I Jaedicke practices in Coventry, RI and has the professional credentials of LMT, NCTMB, AA. The NPI Number for Ellen I Jaedicke is 1285877811 and holds a License No. 01498 (RI). The current practice location address for Ellen I Jaedicke is 137 Sandy Bottom RD, Coventry, RI 02816-5865 and can be reached out via phone at 401-822-3676 and via fax at 401-826-1127.
Provider Profile Details
- NPI Number
- 1285877811
- Provider Name
- Ellen I Jaedicke
- Credential
- LMT, NCTMB, AA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 137 Sandy Bottom RD, Coventry, RI 02816-5865
- Phone Number
- 401-822-3676
- Fax Number
- 401-826-1127
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2009
- Last Update Date
- April 13, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 137 Sandy Bottom RD
Coventry, RI 02816-5865 - City
- Coventry
- State
- Rhode Island
- Zip
- 02816-5865
- Phone Number
- 401-822-3676
- Fax Number
- 401-826-1127
Provider Business Mailing Address Details
- Address
- 137 Sandy Bottom RD
Coventry, RI 02816-5865 - City
- Coventry
- State
- RI
- Zip
- 02816-5865
- Phone Number
- 401-822-3676
- Fax Number
- 401-826-1127
License Information
- License Number
- 01498
- License State
- RI
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ellen I Jaedicke, LMT, NCTMB, AA?
The NPI number of Ellen I Jaedicke, LMT, NCTMB, AA is 1285877811. It was assigned on April 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Ellen I Jaedicke, LMT, NCTMB, AA?
Ellen I Jaedicke, LMT, NCTMB, AA is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number 01498.
Where does Ellen I Jaedicke, LMT, NCTMB, AA practice?
The practice location is 137 Sandy Bottom RD, Coventry, RI 02816-5865. The office can be reached at 401-822-3676 (phone) or 401-826-1127 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285877811 directly on the NPPES registry website.