Individual
BRYAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4085 VICKSBURG TER, COLORADO SPRINGS, CO 80917-2311
(941) 545-6226
Mailing address
4085 VICKSBURG TER, COLORADO SPRINGS, CO 80917-2311
(941) 545-6226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019831
CO
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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