Healthcare Provider Details

I. General information

NPI: 1578726030
Provider Name (Legal Business Name): KATELYNN ELIZABETH VOLPIGNO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2008
Last Update Date: 07/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 RESERVOIR AVE SUITE 300
CRANSTON RI
02920-6055
US

IV. Provider business mailing address

1145 RESERVOIR AVE SUITE 300
CRANSTON RI
02920-6055
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-2500
  • Fax: 401-942-2227
Mailing address:
  • Phone: 401-943-2500
  • Fax: 401-942-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMT01540
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: