Bradley, Lisa

Bradley, Lisa is an individual health care provider with primary practice located at 1000 Elk Ct , Divide CO 80814-7744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bradley, Lisa can be contacted via phone (224) 723-0367.

Contact Information

Primary practice address
1000 Elk Ct Divide CO 80814-7744
Phone: (224) 723-0367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT.0022225 Colorado

Profile Details

NPI number 1174080386
LBN Legal business name Bradley, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2019
Last updated Feb 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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