Individual
TISHA LOUISE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1300 LAFAYETTE DR, ALEXANDRIA, VA 22308-1106
(703) 765-7275
Mailing address
14151 LOTUS LN APT 1229, CENTREVILLE, VA 20120-6378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015574
VA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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