IndividualActive
Edward Goll, LMT, MLD
NPI 1952890741 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1952890741
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, MLD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT01564 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
148 Waterman St
Providence, RI 02906-2130
Phone: (401) 861-1070
Approximate (ZIP-level) locationGet directions
Mailing address
30 Tecumseh St.
Providence, RI 02906
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2018-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.