Individual provider · Type 1 NPI
John Joseph Balletto Jr., LMT
Massage Therapist · Pawtucket, RI
NPI number
1629566823
Active
Practice location
545 Pawtucket Ave Ste A116
Pawtucket, RI 02860-6046
Mailing address
545 Pawtucket Avenue, Mailbox 304
Pawtucket, RI 02860-6094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-00194 (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.
Other massage therapist providers in Pawtucket
About NPI 1629566823
John Joseph Balletto Jr., LMT's National Provider Identifier is 1629566823, issued on Apr 24, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pawtucket, RI. The record was last updated on Apr 24, 2018.