Organization
MY BABY BUMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LAVOISE ARDMS (PRESIDENT, LEAD SONOGRAPHER)
(931) 980-8070
Entity
Organization
Contact information
Practice address
894 HIGHWAY 76 STE 104, CLARKSVILLE, TN 37043-5396
(931) 358-2229
Mailing address
894 HIGHWAY 76 STE 104, CLARKSVILLE, TN 37043-5396
(931) 358-2229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
9281
TN
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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