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Timothy Joseph Bilodeau, LMT

Massage Therapist in Cranston, RI. Individual provider (NPI-1).

NPI number1891237269
StatusActive
Last updated in NPPESNov 16, 2016

Details

NPI
1891237269
Entity type
Individual (NPI-1)
Name
Mr. Timothy Joseph Bilodeau
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 16, 2016
Last updated
Nov 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT01899RIYes

Practice location

120 Burnside St
Cranston, RI 02910-1732

Phone 401-430-4203

Mailing address

120 Burnside St
Cranston, RI 02910-1732

Phone 401-430-4203

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