Individual
KATE HAFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT, NMT
Contact information
Practice address
1145 RESERVOIR AVE, SUITE 210, CRANSTON, RI 02920-6055
(401) 943-3151
Mailing address
6 CHURCH ST, WARREN, RI 02885-3123
(203) 815-5214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01359
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT01359
DEPARTMENT OF HEALTH MASSAGE THERAPIST LICENSE
RI
Enumeration date
09/23/2011
Last updated
09/23/2011
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