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Mr. Jon Mattingly, LMT
Massage Therapist in Providence, Rhode Island
NPI 1821774308

Jon Mattingly is a Massage Therapist based in Providence, RI. Jon Mattingly practices in Providence, RI and has the professional credentials of LMT. The NPI Number for Jon Mattingly is 1821774308 and holds a License No. MT01438 (Rhode Island).

The current practice location address for Jon Mattingly is 340 Broadway # 5, Providence, RI and can be reached out via phone at 401-321-4130.

Location: 340 Broadway # 5, Providence, RI, 02909-1102
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Provider Profile Details
NPI Number
1821774308
Provider Name
Jon Mattingly
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
340 Broadway # 5, Providence, RI, 02909-1102
Phone Number
401-321-4130
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Broadway # 5
City
State
Zip
02909-1102
Phone Number
401-321-4130
Fax Number
person
Provider Business Mailing Address Details
Address
340 Broadway # 5
City
State
Zip
02909-1102
Phone Number
401-321-4130
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MT01438 (Rhode Island)
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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