| Organization Name: | LIVING ESSENCE PHYSICAL THERAPY & HERBAL PHARMACY, LLC |
| NPI Number: | 1225218563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERRI LEE IALONGO GILLETTE (OWNER/ PRACTIONER) |
| Mailing Address: | 38 Brown St 2nd Floor, Front North Kingstown |
| State: | RI US |
| Postal Code: | 028525039 |
| Phone Number: | 4019541807 |
| Fax Number: | 4012955002 |
| NPI Enumeration Date: | 11/04/2007 |
| NPI Last Update Date: | 11/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |