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Jon Mattingly, LMT

NPI 1821774308 · on the registry since 2023 · sole proprietor

Practice

Address
340 Broadway # 5
Providence, RI 02909
Phone
(401) 321-4130

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island