Mr. Jon Mattingly, LMT
Massage Therapist in Providence, Rhode Island
1821774308- Practice location
- 340 Broadway # 5, Providence, RI 02909-1102
- Phone
- 401-321-4130
- Fax
- —
- Last updated
- August 3, 2023
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 (RI). The current practice location address for Jon Mattingly is 340 Broadway # 5, Providence, RI 02909-1102 and can be reached out via phone at 401-321-4130.
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
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2023
- Last Update Date
- August 3, 2023
- Certification Date
- August 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Broadway # 5
Providence, RI 02909-1102 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-1102
- Phone Number
- 401-321-4130
Provider Business Mailing Address Details
- Address
- 340 Broadway # 5
Providence, RI 02909-1102 - City
- Providence
- State
- RI
- Zip
- 02909-1102
- Phone Number
- 401-321-4130
License Information
- License Number
- MT01438
- 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. | |||
Other Massage Therapists near Providence, RI
View all Massage Therapists in Providence →- Abbie DobrowolskiMassage Therapist · NPI 1871182931
- Alice ZossouMassage Therapist · NPI 1174174551
- Anne Prosser, LMTMassage Therapist · NPI 1184123358
- Ashley Corsetti, LMTMassage Therapist · NPI 1598692543
- Benjamin ArrudaMassage Therapist · NPI 1760261671
- Catherine DavisMassage Therapist · NPI 1629430343
Frequently Asked Questions
What is the NPI number of Mr. Jon Mattingly, LMT?
The NPI number of Mr. Jon Mattingly, LMT is 1821774308. It was assigned on June 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Jon Mattingly, LMT?
Mr. Jon Mattingly, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT01438.
Where does Mr. Jon Mattingly, LMT practice?
The practice location is 340 Broadway # 5, Providence, RI 02909-1102. The office can be reached at 401-321-4130 (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 1821774308 directly on the NPPES registry website.