Individual provider · Type 1 NPI

Janet Marie Dieterle, LMT

Massage Therapist · Cranston, RI

NPI number 1104161934 Active

Practice location

1039 Reservoir Ave
Cranston, RI 02910-5135

Call (401) 516-3742 Map

Mailing address

78 Maple Ave
West Warwick, RI 02893-4425

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT01611 (RI)

Massage Therapist: 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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About NPI 1104161934

Janet Marie Dieterle, LMT's National Provider Identifier is 1104161934, issued on Dec 5, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cranston, RI. The record was last updated on Dec 5, 2012.