A Bridge to Wellness, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA20866 Issued in WA

Legal business name

A BRIDGE TO WELLNESS, INC.

Practice address

316 E Fourth Plain Blvd
Suite B
Vancouver, WA 98663-3074

Phone

(360) 993-0599

Fax

(360) 695-0378

NPI assigned

Nov 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary H. Vigeant, LMPNPI 1902970296

Title

President

Phone

(360) 993-0599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary H Vigeant, LMP

  • Massage Therapist
  • Vancouver, WA
  • NPI 1902970296
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1184879751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E 29TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632713",
            "telephone_number": "360-993-0599",
            "fax_number": "360-695-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E FOURTH PLAIN BLVD",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633074",
            "telephone_number": "360-993-0599",
            "fax_number": "360-695-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIDGE TO WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "VIGEANT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-993-0599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA20866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Vancouver, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.