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ELLEN I JAEDICKE LMT, NCTMB, AA
NPI 1285877811
Massage Therapist in Coventry, RI

Active since April 13, 2009
137 SANDY BOTTOM RD, COVENTRY, RI 02816(401) 822-3676(401) 826-1127 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen I Jaedicke Lmt, Nctmb, Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN I JAEDICKE LMT, NCTMB, AA (NPI 1285877811) is an individual massage therapist in Coventry, Rhode Island, licensed in Rhode Island (01498) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1285877811
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameELLEN I JAEDICKECredential: LMT, NCTMB, AA
Location Address137 SANDY BOTTOM RDCoventry, RI 02816-5865
Mailing Address137 Sandy Bottom RdCoventry, RI 02816-5865 · (401) 822-3676 · Fax (401) 826-1127
Phone(401) 822-3676
Fax(401) 826-1127
Sole ProprietorNo
Enumeration DateApril 13, 2009
✔ NPI 1285877811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in RI · 01498
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.
137 SANDY BOTTOM RD, Coventry, RI 02816
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAREN A. HYNES LMT
Massage Therapist
137 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 822-3676
KATIE BURNS LMY
Massage Therapist
137 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 822-3676
MRS. KERYN ELIZABETH KWAN-DICKINSON LMT
Specialist
137 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 822-3676
MS. VICTORIA MARIE MITCHELL L.M.T.
Massage Therapist
137 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 822-3676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Jaedicke's NPI number?

The NPI number for Ellen Jaedicke is 1285877811. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Ellen Jaedicke located?

Ellen Jaedicke practices at 137 Sandy Bottom Rd, Coventry, RI 02816. The listed phone number is (401) 822-3676.

What is Ellen Jaedicke's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ellen Jaedicke was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.