Jonathan Lizotte in Cranston - Massage Therapist
Jonathan Lizotte - NPI 1063466308
Jonathan Lizotte is a Massage Therapist in Cranston, Rhode Island. Jonathan Lizotte practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jonathan Lizotte is 1063466308. The last update date is 2007-07-08.
Jonathan Lizotte's current location address is 721 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019464250 and fax number 4012755645. The mailing address for Jonathan Lizotte is 721 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Lizotte |
|---|---|
| Address | 721 Reservoir Ave, Cranston, Rhode Island |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
| Sole Proprietor | X |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1063466308 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 721 Reservoir Ave |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 29104430 |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MT00964 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MT00964 | RI | MASSAGE THERAPY LICENSE | |
| PTA00318 | RI | PHYSICAL THERAPY ASST. LC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan Lizotte by the Centers for Medicare & Medicaid Services?
The Jonathan Lizotte has been issued the NPI (National Provider Identifier) 1063466308, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jonathan Lizotte's physical address?
The Jonathan Lizotte is physically located at 721 Reservoir Ave, in the city of Cranston, RI, with the postal code 29104430.
Could you please provide the complete street address where Jonathan Lizotte is physically located?
The Jonathan Lizotte is physically situated at the following address: 721 Reservoir Ave, Cranston, RI, 29104430.
What is the Jonathan Lizotte's area of specialization and corresponding taxonomy classification?
The Jonathan Lizotte's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Jonathan Lizotte receive its 1063466308 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Lizotte was assigned its 1063466308 by the Centers for Medicare & Medicaid Services on 2006-05-20.