Active NPIOrganization

West Side Wellness, LLC

Massage Therapist in Province, Rhode Island

NPI Number1417215690
Practice location
376 West Fountain Street, Province, RI 02903
Fax
401-274-2228
Last updated
October 20, 2017

West Side Wellness, LLC is a healthcare organization based in Province, RI. West Side Wellness, LLC practices in Province, RI. The NPI Number for West Side Wellness, LLC is 1417215690 and holds a License No. MT01801 (RI). The current practice location address for West Side Wellness, LLC is 376 West Fountain Street, Province, RI 02903 and can be reached out via phone at 401-274-2225 and via fax at 401-274-2228.

Provider Profile Details

NPI Number
1417215690
Provider Name
West Side Wellness, LLC
Provider Entity Type
Organization
Address
376 West Fountain Street, Province, RI 02903
Phone Number
401-274-2225
Fax Number
401-274-2228
Primary Taxonomy
Massage Therapist · 225700000X
Organization Subpart
No
Authorized Official
Jennifer Rita Raimondi, LMT · Owner · 401-274-2225
Provider Enumeration Date
April 25, 2012
Last Update Date
October 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
376 West Fountain Street
Province, RI 02903
Zip
02903
Phone Number
401-274-2225
Fax Number
401-274-2228
Province, RI 02903Get directions →

Provider Business Mailing Address Details

Address
376 West Fountain Street
Province, RI 02903
City
Province
State
RI
Zip
02903
Phone Number
401-274-2225
Fax Number
401-274-2228

License Information

License Number (1)
MT01801
License State (1)
RI
Taxonomy (1)
Massage Therapist · 225700000X
License Number (2)
MT01765
License State (2)
RI
Taxonomy (2)
Massage Therapist · 225700000X
License Number (3)
MT01476
License State (3)
RI
Taxonomy (3)
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 West Side Wellness, LLC?

The NPI number of West Side Wellness, LLC is 1417215690. It was assigned on April 25, 2012 and is currently active in the NPPES registry.

What is the specialty of West Side Wellness, LLC?

West Side Wellness, LLC is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT01801.

Where does West Side Wellness, LLC practice?

The practice location is 376 West Fountain Street, Province, RI 02903. The office can be reached at 401-274-2225 (phone) or 401-274-2228 (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 1417215690 directly on the NPPES registry website.

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