Healthcare Provider Details

I. General information

NPI: 1619377082
Provider Name (Legal Business Name): REHABEXPERTS MASSAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 PUTNAM PIKE
CHEPACHET RI
02814-1962
US

IV. Provider business mailing address

1187 PUTNAM PIKE PO BOX 1089
CHEPACHET RI
02814-1962
US

V. Phone/Fax

Practice location:
  • Phone: 401-569-8080
  • Fax:
Mailing address:
  • Phone: 401-569-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PAMELA MURGO
Title or Position: OWNER, MASSAGE THERAPIST
Credential: LMT
Phone: 401-569-8080