Individual provider · Type 1 NPI
William Jackson Bridges Jr., LMT, CNMT
Massage Therapist · Valdosta, GA
NPI number
1497985428
Active
Practice location
2420 Bemiss Rd Ste B
Valdosta, GA 31602-4809
Fax (229) 293-9141
Mailing address
PO Box 3864
Valdosta, GA 31604-3864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT000268 (GA) |
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 1497985428
William Jackson Bridges Jr., LMT, CNMT's National Provider Identifier is 1497985428, issued on Jul 24, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Valdosta, GA. The record was last updated on Jul 24, 2009.