Individual
CORY BRADISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 SAINT MICHAELS DR STE 1205, SANTA FE, NM 87505-8605
(505) 490-6160
Mailing address
460 SAINT MICHAELS DR STE 1205, SANTA FE, NM 87505-8605
(505) 490-6160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9465
NM
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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