| Lisa Bradley, | |
|
1000 Elk Ct, Divide, CO 80814-7744 | |
| (224) 723-0367 | |
| Not Available |
| Full Name | Lisa Bradley |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1000 Elk Ct, Divide, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174080386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT.0022225 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Bradley, 1000 Elk Ct, Divide, CO 80814-7744 Ph: (224) 723-0367 | Lisa Bradley, 1000 Elk Ct, Divide, CO 80814-7744 Ph: (224) 723-0367 |
Mr. Richard D Haugen, NMT, LMT, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 391 County Road 51, Divide, CO 80814 Phone: 719-687-5070 | |
Roy Mcmurtry, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 273 Wayward Wind Dr, Divide, CO 80814 Phone: 719-355-8084 |