LISA BRADLEY
NPI 1174080386
Massage Therapist in Divide, CO
About Lisa Bradley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA BRADLEY (NPI 1174080386) is an individual massage therapist in Divide, Colorado, licensed in Colorado (MT.0022225) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Bradley's NPI number?
The NPI number for Lisa Bradley is 1174080386. It was assigned to this individual provider in the NPPES registry on February 24, 2019.
Where is Lisa Bradley located?
Lisa Bradley practices at 1000 Elk Ct, Divide, CO 80814. The listed phone number is (224) 723-0367.
What is Lisa Bradley's specialty?
The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.
When was this NPI record last updated?
The NPPES record for Lisa Bradley was last updated on February 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Bradley · NPI 1174080386
Massage Therapist provider in Divide, Colorado. Individual provider, active in the CMS NPPES registry since February 24, 2019.
## Identity
- **NPI:** 1174080386 (Entity type: Individual)
- **Enumerated:** February 24, 2019
- **Primary specialty:** Massage Therapist · taxonomy 225700000X
- **State license:** MT.0022225 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 ELK CT, Divide, CO 80814-7744
- **Phone:** (224) 723-0367
## Record status
- **NPPES last updated:** February 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1174080386) · Data from the CMS NPPES public registry.