Individual
TINA MARIE BRIDGES BYARIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 E VINE ST, MURFREESBORO, TN 37130-4248
(615) 785-4912
Mailing address
814 RIVER ROCK BLVD, MURFREESBORO, TN 37128-6702
(615) 785-4912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7097
MASSAGE BOARD
TN
Enumeration date
09/10/2020
Last updated
09/10/2020
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