IndividualActive
Jennifer Vasconcelos, LMT
NPI 1790471977 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1790471977
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT01510 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
189 Governor St Ste 202
Providence, RI 02906-3124
Phone: (401) 484-4138
Approximate (ZIP-level) locationGet directions
Mailing address
111 Vallette St
Cranston, RI 02920-6223
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.