Individual
DANIEL B SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
276 FOUNTAIN ST, PROVIDENCE, RI 02903
(401) 275-2225
Mailing address
376 W FOUNTAIN ST, PROVIDENCE, RI 02903-3514
(401) 274-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02637
RI
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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