Individual provider · Type 1 NPI
Jennifer Kristen Carruba, LCMT
Massage Therapist · Coventry, RI
NPI number
1649834805
Active
Practice location
2260 Flat River Rd Unit 9
Coventry, RI 02816-8959
Fax (401) 385-9485
Mailing address
37 Glendale Ave
Warwick, RI 02889-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT01547 (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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- Ellen I. Jaedicke, LMT, NCTMB, AAMassage Therapist Coventry, RI NPI 1285877811
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About NPI 1649834805
Jennifer Kristen Carruba, LCMT's National Provider Identifier is 1649834805, issued on Apr 23, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coventry, RI. The record was last updated on Apr 23, 2019.