Individual provider · Type 1 NPI

Jon Mattingly, LMT

Massage Therapist · Providence, RI

NPI number 1821774308 Active

Practice location

340 Broadway # 5
Providence, RI 02909-1102

Call (401) 321-4130 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT01438 (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 1821774308

Jon Mattingly, LMT's National Provider Identifier is 1821774308, issued on Jun 27, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Providence, RI. The record was last updated on Aug 3, 2023.