Individual provider · Type 1 NPI

Ellen I. Jaedicke, LMT, NCTMB, AA

Massage Therapist · Coventry, RI

NPI number 1285877811 Active

Practice location

137 Sandy Bottom Rd
Coventry, RI 02816-5865

Call (401) 822-3676 Map

Fax (401) 826-1127

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X01498 (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.

3 other providers at this address

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About NPI 1285877811

Ellen I. Jaedicke, LMT, NCTMB, AA's National Provider Identifier is 1285877811, issued on Apr 13, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coventry, RI. The record was last updated on Apr 13, 2009.