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Individual

MRS. MICHELLE LYNN BRICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4105 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-3480
(719) 776-7846
(719) 776-3456
Mailing address
4105 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-3480
(719) 776-7846
(719) 776-3456

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0006880
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20252773
CO
01
P01470162
MEDICARE RAILROAD
CO
Enumeration date
01/03/2012
Last updated
01/26/2017
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