Justin Simao is a Massage Therapist based in Warwick, RI. Justin Simao practices in Pawtucket, RI. The NPI Number for Justin Simao is 1568156610 and holds a License No. (Rhode Island).
The current practice location address for Justin Simao is 139 Benefit St, Pawtucket, RI and can be reached out via phone at 401-423-4433.
Location: 139 Benefit St, Pawtucket, RI, 02888-3847
Provider Profile Details
NPI Number
1568156610
Provider Name
Justin Simao
Credential
Provider Entity Type
Individual
Gender
Male
Address
139 Benefit St, Pawtucket, RI, 02888-3847
Phone Number
401-423-4433
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710001422 | 05 | RI |
Provider Business Practice Location Address Details
Address
139 Benefit St
City
State
Zip
02861-1024
Phone Number
401-423-4433
Fax Number
Provider Business Mailing Address Details
Address
139 Benefit St
City
State
Zip
02861-1024
Phone Number
401-423-4433
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
Definition
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.
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