Healthcare Provider Details

I. General information

NPI: 1427970359
Provider Name (Legal Business Name): BERNADETTE LIMA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44727 THORNDIKE ST
ASHBURN VA
20147-5939
US

IV. Provider business mailing address

11604 VANTAGE HILL RD UNIT 21B
RESTON VA
20190-3480
US

V. Phone/Fax

Practice location:
  • Phone: 703-349-5851
  • Fax:
Mailing address:
  • Phone: 240-397-3473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019020615
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: