Ellen I Jaedicke, LMT, NCTMB, AA
NPI #1285877811 in Coventry, Rhode Island
Provider Information
- NPI Number
- 1285877811
- Entity Type
- Individual
- Name
- Ellen I Jaedicke, LMT, NCTMB, AA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT, NCTMB, AA
- Enumeration Date
- Apr 13, 2009
- Last Updated
- Apr 13, 2009
Practice Location
- Address
- 137 SANDY BOTTOM RD
- City
- Coventry
- State
- Rhode Island
- ZIP Code
- 02816-5865
- Phone
- (401) 822-3676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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