Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanie Bridwell

Individual provider Massage Therapist · NPI 1689452708

Jeanie Bridwell is a Massage Therapist in Reston, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
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Practice location Address checks out

1801 Robert Fulton Dr # 230
Reston, VA 20191-5461
Phone: (571) 449-6839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019014296 (VA)

Record details

NPI number1689452708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address44485 Potter Ter, Ashburn, VA 20147-7156

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