Provider Demographics
NPI:1528594215
Name:BESTWICK, FRANK A III (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:A
Last Name:BESTWICK
Suffix:III
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 POST RD STE G2
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-1539
Mailing Address - Country:US
Mailing Address - Phone:401-467-9193
Mailing Address - Fax:
Practice Address - Street 1:422 POST RD STE G2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-1539
Practice Address - Country:US
Practice Address - Phone:401-467-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT01732225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist