Joseph Richard Bridge, LMP
Individual provider Active NPI Massage Therapist · Sequim, WA
NPI 1194957837 · NPPES record last updated Aug 13, 2009
Key facts
- NPI
- 1194957837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60036586 (WA)
- Practice address
- 51 Geolaine Way
Sequim, WA 98382-6850 - Phone
- (360) 683-3712
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60036586 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60036586 | WA | Yes |
Addresses
Primary practice location
51 Geolaine Way
Sequim, WA 98382-6850
Mailing address
51 Geolaine Way
Sequim, WA 98382-6850
Phone (360) 683-3712
Other providers in Sequim, WA
- Boyack & Despain PLLC
- Braden Partners LP
- Bradi Bergesen Counseling PLLC
- Joseph Edwin Brenner
- Dustin Brenske
- Lisa McDonald Bridge
- Demiree Vinchenza Briones
- Carly Justine Broderick
- Sarah Jeanne Brooks
- Ashley Brown
All providers in Sequim, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.