Organization
BRIDGEROOT LLC
Active
Other names
Ipothecary
Organization subpart
No
Provider details
NPI number
Authorized official
TAKIESHA INDIGO MELENDEZ LMT (MEDICAL MASSAGE THERAPIST)
(800) 965-6024
Entity
Organization
Contact information
Practice address
11400 W OLYMPIC BLVD STE 200, LOS ANGELES, CA 90064-1584
(800) 965-6024
Mailing address
6104 SEPULVEDA BLVD # 1024, VAN NUYS, CA 91411-2503
(646) 833-6331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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