Mayra Madely Rivera, LMT
NPI #1700432325 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1700432325
- Entity Type
- Individual
- Name
- Mayra Madely Rivera, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Aug 11, 2019
- Last Updated
- Aug 11, 2019
Practice Location
- Address
- 750 EAST AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-6245
- Phone
- (401) 640-0925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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