IndividualActive
Ellen Jaedicke, LMT, NCTMB, AA
NPI 1285877811 · Massage Therapist · Coventry, RI
Provider details
- NPI number
- 1285877811
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, NCTMB, AA
- Sex
- Female
- Sole proprietor
- No
- License
- 01498 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
137 Sandy Bottom Rd
Coventry, RI 02816-5865
Phone: (401) 822-3676
Fax: (401) 826-1127
Approximate (ZIP-level) locationGet directions
Mailing address
137 Sandy Bottom Rd
Coventry, RI 02816-5865
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.