Individual provider · Type 1 NPI

John Kennedy Gavin

Massage Therapist · Warwick, RI

NPI number 1720650815 Active

Practice location

246 Centerville Road (prima Deana Salon)
Warwick, RI 02886

Call (401) 692-5158 Map

Mailing address

28 Rosewood Avenue
Cranston, RI 02905

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X7829 (NH)
Massage Therapist 225700000X7209 (NV)
Massage Therapist Primary 225700000X01439 (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 1720650815

John Kennedy Gavin's National Provider Identifier is 1720650815, issued on Jul 16, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warwick, RI. The record was last updated on Jul 16, 2021.