Individual
ASHLEY BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5371 MOUNT VIEW RD STE 315, ANTIOCH, TN 37013-2308
(615) 913-0742
Mailing address
727 BELL RD APT 1211, ANTIOCH, TN 37013-8024
(708) 510-8220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14291
TN
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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