Individual
MADELINE GRACE BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10600 CRESTWOOD DR, MANASSAS, VA 20109-3432
(703) 686-4092
Mailing address
10600 CRESTWOOD DR, MANASSAS, VA 20109-3432
(703) 686-4092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020591
VA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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