IndividualActive
Jody Rudnick, MT, PTA,
NPI 1629453733 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1629453733
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT, PTA,
- Sex
- Female
- Sole proprietor
- No
- License
- MT00293 (RI)
Mailing address
251 Waterman St
Providence, RI 02906-5210
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.