Provider Demographics
NPI:1770757338
Name:BRIDGER, COLIN JAMES (MPT)
Entity type:Individual
Prefix:MR
First Name:COLIN
Middle Name:JAMES
Last Name:BRIDGER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 S HAYWOOD ST
Mailing Address - Street 2:THE LANDMARK 205
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-5700
Mailing Address - Country:US
Mailing Address - Phone:828-454-9621
Mailing Address - Fax:
Practice Address - Street 1:262 LEROY GEORGE DVE
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721
Practice Address - Country:US
Practice Address - Phone:828-452-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist