Provider Demographics
NPI:1578726030
Name:VOLPIGNO, KATELYNN ELIZABETH (LMT)
Entity Type:Individual
Prefix:MISS
First Name:KATELYNN
Middle Name:ELIZABETH
Last Name:VOLPIGNO
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 1:1145 RESERVOIR AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6055
Mailing Address - Country:US
Mailing Address - Phone:401-943-2500
Mailing Address - Fax:401-942-2227
Practice Address - Street 1:1145 RESERVOIR AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6055
Practice Address - Country:US
Practice Address - Phone:401-943-2500
Practice Address - Fax:401-942-2227
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-05
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT01540172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist