IndividualActive
Gennadiy Krichevskiy, MT
NPI 1972015634 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1972015634
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- No
- License
- 00730 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
251 Waterman St
Providence, RI 02906-5210
Phone: (401) 453-4263
Approximate (ZIP-level) locationGet directions
Mailing address
251 Waterman St
Providence, RI 02906-5210
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2017-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.