Individual
JAMES INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, BCTMB
Contact information
Practice address
6408 GROVEDALE DR, ALEXANDRIA, VA 22310-2595
(703) 967-7775
Mailing address
6300 WILLOW WAY, CLINTON, MD 20735-3956
(301) 219-5840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019014572
VA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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