Individual
RACHAEL SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
251 WATERMAN ST, PROVIDENCE, RI 02906-5210
(401) 453-4263
Mailing address
251 WATERMAN ST, PROVIDENCE, RI 02906-5210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02208
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
RI
Enumeration date
07/01/2015
Last updated
07/01/2015
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