Individual provider · Type 1 NPI
Ashley Bacon
Massage Therapist · Antioch, TN
NPI number
1912791641
Active
Practice location
5371 Mount View Rd Ste 315
Antioch, TN 37013-2308
Mailing address
727 Bell Rd Apt 1211
Antioch, TN 37013-8024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14291 (TN) |
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 1912791641
Ashley Bacon's National Provider Identifier is 1912791641, issued on Apr 7, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Antioch, TN. The record was last updated on Apr 7, 2025.