Individual
MS. MEREDITH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LMT, BCHN, CDSP
Contact information
Practice address
136 W MAIN RD, MIDDLETOWN, RI 02842-4985
(401) 862-1042
Mailing address
136 W MAIN RD, MIDDLETOWN, RI 02842-4985
(401) 862-1042
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
00826
RI
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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