Individual
BRET CORY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014491
CO
376G00000X
Nursing Home Administrator
NHA.0003063
CO
Other
Enumeration date
05/12/2020
Last updated
10/06/2025
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