Provider Demographics
NPI:1518650548
Name:TANGUAY, ROBIN LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:TANGUAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BATTEY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1602
Mailing Address - Country:US
Mailing Address - Phone:401-391-1189
Mailing Address - Fax:
Practice Address - Street 1:6 BATTEY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1602
Practice Address - Country:US
Practice Address - Phone:401-864-2747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT02299225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist