=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710834304
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIGHT LIFE MASSAGE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2026
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 955 E BRIDGE ST
-----------------------------------------------------
City | BRIGHTON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80601-2251
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-666-1636
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 955 E BRIDGE ST
-----------------------------------------------------
City | BRIGHTON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80601-2251
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | HAOLIANG DONG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-666-1636
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------