ELLEN JAEDICKE, LMT, NCTMB, AA
Massage Therapist
Active
Individual
NPI: 1285877811
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 01498 (RI) |
Frequently Asked Questions
NPI 1285877811 is the National Provider Identifier for ELLEN JAEDICKE, LMT, NCTMB, AA, a Massage Therapist provider located in Coventry, RI. This NPI was enumerated on April 13, 2009.
ELLEN JAEDICKE, LMT, NCTMB, AA practices at 137 SANDY BOTTOM RD, Coventry, RI 02816.
Quick Facts
- NPI
- 1285877811
- Type
- Individual
- Enumerated
- Apr 13, 2009
- Last Updated
- Apr 13, 2009
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