LISA BRADLEY NPI 1174080386

NPI Information

  • NPI: 1174080386
  • Provider Name: LISA BRADLEY
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1000 ELK CT
    DIVIDE, CO
    ZIP 80814
  • Phone: (224) 723-0367

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NPI Details

Lisa Bradley is a massage therapist in Divide, CO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Lisa Bradley NPI is 1174080386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 ELK CT
DIVIDE, CO
ZIP 80814-744
Phone: (224) 723-0367

The enumeration date for this NPI number is 2/24/2019 and was last updated on 2/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT.0022225COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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