Individual
BRADE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S CHERRY ST, SUITE 640, DENVER, CO 80246-1226
(303) 333-3493
(303) 333-1184
Mailing address
325 TITAN ST, AURORA, CO 80011-8426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60338175
WA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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