Active NPIIndividual providerSole proprietor

Mrs. Jennifer L Vasconcelos, LMT

Massage Therapist in Providence, Rhode Island

NPI Number1790471977
Practice location
189 Governor St Ste 202, Providence, RI 02906-3124
Fax
—
Last updated
April 12, 2023

Jennifer L Vasconcelos is a Massage Therapist based in Providence, RI. Jennifer L Vasconcelos practices in Providence, RI and has the professional credentials of LMT. The NPI Number for Jennifer L Vasconcelos is 1790471977 and holds a License No. MT01510 (RI). The current practice location address for Jennifer L Vasconcelos is 189 Governor St Ste 202, Providence, RI 02906-3124 and can be reached out via phone at 401-484-4138.

Provider Profile Details

NPI Number
1790471977
Provider Name
Jennifer L Vasconcelos
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
189 Governor St Ste 202, Providence, RI 02906-3124
Phone Number
401-484-4138
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Other Names
Jennifer L Peno, LMT (Former Name)
Provider Enumeration Date
April 12, 2023
Last Update Date
April 12, 2023
Certification Date
April 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 Governor St Ste 202
Providence, RI 02906-3124
Zip
02906-3124
Phone Number
401-484-4138
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
111 Vallette St
Cranston, RI 02920-6223
City
Cranston
State
RI
Zip
02920-6223
Phone Number
401-484-4138

License Information

License Number
MT01510
License State
RI
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Massage Therapists near Providence, RI

View all Massage Therapists in Providence →

Frequently Asked Questions

What is the NPI number of Mrs. Jennifer L Vasconcelos, LMT?

The NPI number of Mrs. Jennifer L Vasconcelos, LMT is 1790471977. It was assigned on April 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer L Vasconcelos, LMT?

Mrs. Jennifer L Vasconcelos, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT01510.

Where does Mrs. Jennifer L Vasconcelos, LMT practice?

The practice location is 189 Governor St Ste 202, Providence, RI 02906-3124. The office can be reached at 401-484-4138 (phone).

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 1790471977 directly on the NPPES registry website.

Browse related providers