Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jon Mattingly, LMT

Individual provider Massage Therapist · NPI 1821774308

Mr. Jon Mattingly, LMT is a Massage Therapist in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

340 Broadway # 5
Providence, RI 02909-1102
Phone: (401) 321-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT01438 (RI)

Record details

NPI number1821774308
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address340 Broadway # 5, Providence, RI 02909-1102

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