Individual provider · Type 1 NPI

Edward Goll, LMT, MLD

Massage Therapist · Providence, RI

NPI number 1952890741 Active

Practice location

148 Waterman St
Providence, RI 02906-2130

Call (401) 861-1070 Map

Mailing address

30 Tecumseh St., Apt, Suite, Bldg. (optional)
Providence, RI 02906

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT01564 (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 1952890741

Edward Goll, LMT, MLD's National Provider Identifier is 1952890741, issued on May 7, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Providence, RI. The record was last updated on May 7, 2018.