Individual
BRET CORY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9208 GRAND CORDERA PKWY, COLORADO SPRINGS, CO 80924-7022
(719) 522-2000
Mailing address
113 COMANCHE CT, FOUNTAIN, CO 80817-1693
(435) 310-0841
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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