Doctor Name: | RENDELLE R. RODGERS |
NPI Number: | 1699915033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 6919 |
Business Practice Address: | 573 Mass Ave B1 Boston, MA - 021181478 |
Business Phone Number: | 6172669196 |
Business Fax Number: | |
Mailing Address: | 573 Mass Ave, B1 BOSTON |
State: | MA |
Postal Code: | 021181478 |
Phone Number: | 6172669196 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |