Individual
BRIDGET MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8650 MARTIN WAY E STE 207, LACEY, WA 98516-6610
(360) 951-4504
(877) 848-7757
Mailing address
400 COOPER PT RD SW #27 #12228, OLYMPIA, WA 98502
(360) 951-4504
(877) 848-7757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60558065
WA
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/03/2015
Last updated
07/23/2020
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