IndividualActive
Jeffrey Herdle, LMT
NPI 1376237438 · Massage Therapist · Coventry, RI
Provider details
- NPI number
- 1376237438
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- MT02784 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2006 Nooseneck Hill Rd
Coventry, RI 02816-6708
Phone: (401) 822-3676
Approximate (ZIP-level) locationGet directions
Mailing address
2006 Nooseneck Hill Rd
Coventry, RI 02816-6708
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.