Individual provider · Type 1 NPI

Jody Rudnick, MT, PTA

Massage Therapist · Providence, RI

NPI number 1629453733 Active

Practice location

251 Waterman St
Providence, RI 02906-5210

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT00293 (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 1629453733

Jody Rudnick, MT, PTA's National Provider Identifier is 1629453733, issued on Jul 30, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Providence, RI. The record was last updated on Jul 30, 2015.