MR. John Joseph Balletto JR., LMT

NPI #1629566823 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1629566823
Entity Type: Individual
Name: MR. John Joseph Balletto JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 545 PAWTUCKET AVE STE A116
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-6046
Phone: (401) 722-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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