Lisa Bradley

NPI #1174080386 in Divide, Colorado

Provider Information

NPI Number: 1174080386
Entity Type: Individual
Name: Lisa Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Feb 24, 2019
Last Updated: Feb 24, 2019

Practice Location

Address: 1000 ELK CT
City: Divide
State: Colorado
ZIP Code: 80814-7744
Phone: (224) 723-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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