Taryn Spiconardi, LMT
Individual provider Active NPI Massage Therapist · Wyoming, RI
NPI 1679031306 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1679031306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 02255 (RI)
- Practice address
- 1136 Main St
Wyoming, RI 02898-1074 - Phone
- (401) 321-2884
- NPI assigned
- Mar 12, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02255 | RI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 02255 | RI | Yes |
Addresses
Primary practice location
1136 Main St
Wyoming, RI 02898-1074
Mailing address
17 Pawcatuck View Rd
Carolina, RI 02812-1010
Phone (401) 855-0841
Other providers in Wyoming, RI
- Shohini Ray
- Rhode Island CVS Pharmacy, L.L.C.
- Kathleen Robinson
- David Michael Sherlock
- Kevin Michael Smith
- Washington County Physical Therapy
- Eric Weaver
- Nicole Lea Wheeler-Glover
- Wood Road Group Home
All providers in Wyoming, RI · Massage Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.