Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 00544 | RI |
NPI | 1013456136 |
---|---|
Provider Name | Brenda L Richtmeyer |
First Address | Warwick, RI 02886-4345 |
Second Address | Warwick, RI 02886-4345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2017 |
Last Update Date | 29/03/2017 |