Individual provider · Type 1 NPI
Bridie Ann Phelan, MASSAGE THERAPIST
Massage Therapist · Bronx, NY
NPI number
1326655804
Active
Practice location
234 E 237th St
Bronx, NY 10470-2007
Mailing address
112 Shale Ridge Rd
Milford, PA 18337-7685
Other practice locations
- 51 US Highway 206, Augusta, NJ 07822-2033 · (973) 237-9262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 18KT01140800 (NJ) |
| Massage Therapist Primary | 225700000X | 9449 (NY) |
Massage Therapist: 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.
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About NPI 1326655804
Bridie Ann Phelan, MASSAGE THERAPIST's National Provider Identifier is 1326655804, issued on Sep 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bronx, NY. The record was last updated on Oct 8, 2020.