Cheryl K. D'Itri, NC LMT

Individual provider Active NPI Massage Therapist · Johnston, RI

NPI 1659935757 · NPPES record last updated Apr 24, 2019

Key facts

NPI
1659935757
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT00625 (RI)
Practice address
2051 Plainfield Pike
Johnston, RI 02919
Phone
(401) 464-6100
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT00625RIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT00625 RI Yes

Addresses

Primary practice location

2051 Plainfield Pike
Johnston, RI 02919

Mailing address

72 Cannon St.
Cranston, RI 02920
Phone (401) 464-6100

Other providers in Johnston, RI

All providers in Johnston, RI · Massage Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.