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MELISA BRADY LMT, RYT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1851913388

Individual Registrant:
 MELISA  BRADY LMT, RYT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
211 GRAND AVE # 116  PAONIA, CO 81428-5092 US
Tel: 801-879-5078  Fax: --

Contact information for business:
PO BOX 1662  PAONIA, CO 81428-1662 US
Tel: 801-879-5078  Fax: --

Registration Information:
NPI: 1851913388
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
COMT.0022063

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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