NPI 1417228016
Matthew Shane Donnelly St Germain, RNLMT
Practice location
- Address
- 422 Post Rd Suite G2, Warwick, RI 02888-2802
- Phone
- (401) 467-9193
- Mailing address
- 144 Waterman St STE 5, Providence, RI 02906-2126
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1417228016
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jan 2012
- Record last updated
- 7 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.