Bridiget L Jackson-Gross in Hollywood - Massage Therapist

Bridiget L Jackson-Gross - NPI 1679757165

Bridiget L Jackson-Gross is a Massage Therapist in Hollywood, Florida. Bridiget L Jackson-Gross practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Bridiget L Jackson-Gross is 1679757165. The last update date is 2007-12-20.

Bridiget L Jackson-Gross's current location address is 4407 Sheridan St, Hollywood, Florida. You can contact this provider via phone number 9548937233 and fax number 9544916862. The mailing address for Bridiget L Jackson-Gross is 4407 Sheridan St, Hollywood, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bridiget L Jackson-Gross
Address 4407 Sheridan St, Hollywood, Florida
Phone Number 9548937233
Fax Number 9544916862
Sole Proprietor N
Credentials MASSAGE TH

NPI Number Detail

NPI Number 1679757165
Provider Enumeration Date 2007-12-20
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 4407 Sheridan St
City Hollywood
State Florida (FL)
Post Code 330213513
Phone Number 9548937233
Fax Number 9544916862

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA 47120
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MA 47120 FL MASSAGE LICENSE

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FAQs about Bridiget L Jackson-Gross

What is the unique 10-digit identification code issued to Bridiget L Jackson-Gross by the Centers for Medicare & Medicaid Services?

The Bridiget L Jackson-Gross has been assigned the NPI (National Provider Identifier) 1679757165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Bridiget L Jackson-Gross's facilities are geographically located?

The facilities of Bridiget L Jackson-Gross are physically situated at the following location: 4407 Sheridan St, Hollywood, FL, 330213513.

What is Bridiget L Jackson-Gross's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bridiget L Jackson-Gross is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679757165 to Bridiget L Jackson-Gross?

The Bridiget L Jackson-Gross received its 1679757165 assignment from the Centers for Medicare & Medicaid Services on 2007-12-20.

When was the information regarding Bridiget L Jackson-Gross most recently updated?

The details pertaining to the Bridiget L Jackson-Gross, including its address, specialty, and other relevant information, were last refreshed on 2007-12-20.

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