Individual provider · Type 1 NPI

Jeanie Bridwell

Massage Therapist · Reston, VA

NPI number 1689452708 Active

Practice location

1801 Robert Fulton Dr # 230
Reston, VA 20191-5461

Call (571) 449-6839 Map

Mailing address

44485 Potter Ter
Ashburn, VA 20147-7156

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019014296 (VA)

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 1689452708

Jeanie Bridwell's National Provider Identifier is 1689452708, issued on Sep 19, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Reston, VA. The record was last updated on Sep 19, 2023.