Active NPIIndividual providerSole proprietor

Mr. Edward Goll, LMT, MLD

Massage Therapist in Providence, Rhode Island

NPI Number1952890741
Practice location
148 Waterman St, Providence, RI 02906-2130
Fax
—
Last updated
May 7, 2018

Edward Goll is a Massage Therapist based in Providence, RI. Edward Goll practices in Providence, RI and has the professional credentials of LMT, MLD. The NPI Number for Edward Goll is 1952890741 and holds a License No. MT01564 (RI). The current practice location address for Edward Goll is 148 Waterman St, Providence, RI 02906-2130 and can be reached out via phone at 401-861-1070.

Provider Profile Details

NPI Number
1952890741
Provider Name
Edward Goll
Credential
LMT, MLD
Provider Entity Type
Individual
Gender
Male
Address
148 Waterman St, Providence, RI 02906-2130
Phone Number
401-861-1070
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2018
Last Update Date
May 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Waterman St
Providence, RI 02906-2130
Zip
02906-2130
Phone Number
401-861-1070
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
30 Tecumseh St.
Apt, Suite, Bldg. (Optional)
Providence, RI 02906
City
Providence
State
RI
Zip
02906
Phone Number
401-861-1070

License Information

License Number
MT01564
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.

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Frequently Asked Questions

What is the NPI number of Mr. Edward Goll, LMT, MLD?

The NPI number of Mr. Edward Goll, LMT, MLD is 1952890741. It was assigned on May 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Edward Goll, LMT, MLD?

Mr. Edward Goll, LMT, MLD is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in RI under license number MT01564.

Where does Mr. Edward Goll, LMT, MLD practice?

The practice location is 148 Waterman St, Providence, RI 02906-2130. The office can be reached at 401-861-1070 (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 1952890741 directly on the NPPES registry website.

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